Skip to main content Skip to search Skip to search results

Application forms

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

Found in 3 Collections and/or Records:

David Rubin's Application for Admission to JCRS, 1910 March 18

 Item
Identifier: B002.01.0102.0098.00001
Overview Application form of David Rubin for admission as a patient to the Jewish Consumptives' Relief Society. He was age 41 at the time of the application. His place of birth states he is from Berdichev, Russia and immigrated to the U.S. in 1905. He lived in St. Louis, Missouri for five years where he contracted tuberculosis. He was also married and had seven children. He belonged to King of David Lodge of the Progressive Order of the West. The verso of the application is blank.
Dates: 1910 March 18

David Rubin's Application for Admission to JCRS, 1910 March 21

 Item
Identifier: B002.01.0102.0098.00009
Overview Second application form of David Rubin for admission as a patient to the Jewish Consumptives' Relief Society. He was age 41 at the time of the application. His place of birth states he is from Russia and immigrated to the U.S. five years ago. He lived in St. Louis, Missouri for five years where he contracted tuberculosis. He was also married and had seven children. He belonged to King of David Lodge of the Progressive Order of the West. The verso of the application has a red stamp in the middle...
Dates: 1910 March 21

Letter from C.D. Spivak to N.P. Levin, 1910 March 26

 Item
Identifier: B002.01.0102.0098.00015
Overview Typed letter from C.D. Spivak to N.P. Levin regarding David Rubin's emergency application. Spivak mentions that various fields on the application are missing such as the name of his wife and children. His application also mentions a relative by the name of Jacob Fishman and Spivak is wondering how they are related. He asks for addresses for all of the people listed on the application and asks Levin to obtain all of the necessary information for a complete application.
Dates: 1910 March 26