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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 599 Collections and/or Records:

A. Richman's Application for Admittance to JCRS, 1908 December 29

 Item
Identifier: B002.01.0101.0003.00001
Overview Application for admittance to JCRS filled out by hand in ink by A. Richman. Information on the form includes his age, birthplace, occupation, residence, marital status, children's ages, membership to beneficial societies and lodges, nearest relatives, and signed by A. Richman. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Name [illegible] Reichman, Address 3241 Canejos Pl." The second reads "Name J Cohen, Address 1424 Irving St." The back of...

A. Tarashinsky's Application for Admittance to JCRS, 1908 November 07

 Item
Identifier: B002.01.0100.0093.00001
Overview JCRS Application for Admittance filled out in ink for Patient #956 A. Tarashinsky "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 7 1908" [sic]. The application includes patient's name, sex, age, occupation, residential information, medical information, marital status, number and ages of children, and nearest relatives or friends; "Wife - Rebecca 205 E. 7th St. New York, Sister- Mrs. M. Kanevsky 330 Winton St. Philadelphia Pa" and the...

Aaron Agreen's Application for Admittance to JCRS, 1908 July 23

 Item
Identifier: B002.01.0100.0032.00001
Overview Application for admittance to JCRS filled out by hand in ink for Aaron Agreen. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Aaron Agreen. The back of the form has section entitled "Report of Medical Examiner," which is dated July 24, 1908 and states that the applicant is suffering from the arrest [illegible] stage of pulmonary tuberculosis. Remarks read "Sclerosis (bronchial breathing) upper...

Aaron Kupiter's Application for Admittance to JCRS, 1911 March 20

 Item
Identifier: B002.01.0104.0011.00001
Overview Aaron Kupiter's handwritten application for admittance to JCRS. Includes information such as age (36), place of birth (Russia), and occupation (presser). He was married, had 3 children, and his nearest relative was his wife, in N.Y.C. On the backside it reads he was admitted on May 19, 1911, and left on July 28, 1911.

Aaron London's Application for Admittance to JCRS, 1908 November 21

 Item
Identifier: B002.01.0100.0097.00001
Overview JCRS Application for Admittance filled out in ink for Patient #962 A. London "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "Nov 21, 1908" [sic]. The application includes patient's name, age, place of birth, citizenship, occupation, residential information, medical information, marital status, number and ages of children [none], and nearest relatives or friends; "C. N. Meltsner 43 W. 117th St NY brother in law [and] K. London 266 Madison St....

Abe Axelrod's Application for Admission to JCRS, 1910 February 28

 Item
Identifier: B002.01.0102.0084.00001
Overview Handwritten application for admittance to JCRS for Abe Axelrod. It includes information such as age (27), place of birth (Russia), and occupation (tailor). He was married and his nearest family was his wife, brother and sister. On the backside, it is written he had tuberculosis stage II, and consolidation in the center of the right lung. He was admitted on April 1st, 1910, and died on May 8, 1910.

Abe Billen's Application for Admission to JCRS, 1909 December 3

 Item
Identifier: B002.01.0102.0036.00001
Overview Application form of Abe Billen for admission as a patient to the Jewish Consumptives' Relief Society. He was age 26 at the time of the application. He was born in Russia and immigrated to the United States in 1906. He lived in New York City when he contracted tuberculosis. He had been sick for 4 months upon arrival to Denver, Colorado. He was single. He also worked as a presser. The verso of the application states he was admitted on January 26, 1910 and was discharged on May 13, 1910.

Abe Billen's Application for Admission to JCRS, 1910 July 12

 Item
Identifier: B002.01.0102.0036.00019
Overview Application form of Abe Billen for admission as a patient to the Jewish Consumptives' Relief Society. He was age 26 at the time of the application. He was born in Russia and immigrated to the United States in 1906. He lived in New York City when he contracted tuberculosis. He had been sick for eleven months upon arrival to Denver, Colorado. He was single. He also worked as a presser. The verso of the application states he applied on July 12, 1910.

Abe Gutnick's Application for Admittance to JCRS, 1907 January 9

 Item
Identifier: B002.01.0101.0044.00026
Overview Application for admittance to JCRS filled out by hand in ink for Abe Gutnick. Information on the form includes his age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives, and signed by Abe Gutnick. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Mrs. [illegible], 1517 Dale Ct." The second reads "Mr. Isaacson, 1513 Larimer St." The back of the form has section entitled "Report of Medical Examiner,"...

Abe Gutnick's Second Application for Admittance to JCRS, 1907 February 18

 Item
Identifier: B002.01.0101.0044.00024
Overview Second Application for admittance to JCRS filled out by hand in ink for Abe Gutnick. Information on the form includes his age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives, and is signed by Abe Gutnick. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Mr. Isaacson, 1513 Larimer St." The second reads "M. [illegible], 1607 Larimer St." The back of the form has section entitled "Report of Medical...