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Application forms

 Subject
Subject Source: Art & Architecture Thesaurus
Scope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.

Found in 4 Collections and/or Records:

Sam Millman's Application for Admittance to JCRS, 1907 August 26

 Item
Identifier: B002.01.0099.0001.00001
Overview Application for admittance to JCRS filled out by hand for Sam Millman and dated August 26, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Sam Millman. The back of the form has sections titled "Report of Medical Examiner," which is dated August 26, 1907, and notes that Sam Millman entered the sanatorium for emergency care. The middle section of the back has "Application No. 564 and case No....
Dates: 1907 August 26

Sam Millman's Application for Admittance to JCRS, 1908 October 15

 Item
Identifier: B002.01.0100.0082.00001
Overview JCRS application for admittance filled out in ink for Patient #938 Sam Millman "To the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado...Received October 15th 1908." The application includes patient's name, gender, age, citizenship, occupation, residential and medical history, and includes a relative's address: "Father, M. Millman 502 Mountain St. Philadelphia" The application is signed Sam Millman.
Dates: 1908 October 15

Sam Millman's Application for Admittance to JCRS, 1908 October 15

 Item
Identifier: B002.01.0100.0082.00002
Overview JCRS application for admittance filled out in ink for Patient #938 Sam Millman "To the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado...Received October 15th 1908." The application includes patient's name, gender, age, citizenship, occupation, residential and medical history, and includes a relative's address: "Father, M. Millman 502 Mountain St. Philadelphia" The application is signed Sam Millman.
Dates: 1908 October 15

Sam Millman's Application for Admittance to JCRS, 1907 August 20

 Item
Identifier: B002.01.0100.0082.00003
Overview JCRS application for admittance filled out in ink for Patient #938 Sam Millman "To the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado...Received August 20, 1907." The application includes patient's name, gender, age, citizenship, occupation, residential and medical history, and includes a relative's address: "Father, Morris Millman 718 S. 3rd St. Philadelphia, PA." The application is signed Sam Millman.
Dates: 1907 August 20