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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 602 Collections and/or Records:

Charles Cohn's Application for Admittance to JCRS, 1909 December 09

 Item
Identifier: B002.01.0102.0040.00001
Overview Handwritten application of admittance in pen to the JCRS for Charles Cohn. It includes his age (48), and place of birth (New Orleans). His nearest relatives are his daughter, Fannie Zar, and his brother, Sam Cohn. It is written on the back side he was suffering from tuberculosis stage III, and he had complete consolidation of both lungs. He was accepted on January 21, 1910, and discharged on May 10, 1910.
Dates: 1909 December 09

Charles Tepperman's Application for Admission to JCRS, 1910 November 3

 Item
Identifier: B002.01.0103.0096.00001
Overview Application form of Charles Tepperman for admission as a patient to the Jewish Consumptives' Relief Society. He was age 22 at the time of the application. He was born in Russia and immigrated to the United States in 1900. He lived in Brooklyn, New York when he contracted tuberculosis. He had been sick for three years upon his arrival to Denver, Colorado. His occupation states he worked as a pipe maker. The verso of the application states he was admitted on March 2nd, 1911 and left the...
Dates: 1910 November 3

Chas. Rosenthal's Application for Admittance to JCRS, 1911 March 24

 Item
Identifier: B002.01.0104.0012.00001
Overview Chas. Rosenthal's handwritten application for admittance to JCRS. Includes information such as age (33), place of birth (Russia), and occupation (cigar maker). He was single and his nearest relative were his uncle and cousin, in N.Y.C. On the backside it reads he was admitted on May 19, 1911, and died on March 13, 1912.
Dates: 1911 March 24

Chas W. Waldman's Application for Admission to JCRS, 1910 April 16

 Item
Identifier: B002.01.0102.0122.00001
Overview Application form of Chas W. Waldman for admission as a patient to the Jewish Consumptives' Relief Society. He was age 53 at the time of the application. He was born in Romania and immigrated to the United States in 1874. He lived in New York City when he contracted tuberculosis. He had been sick for 8 years. He was married and had four children. He also worked as a merchant. He also belonged to the Joshua L. Free Sons of Israel lodge. The verso of the application states he was admitted on April...
Dates: 1910 April 16

Clara Brandwine's Application for Admission to JCRS, 1910 March 29

 Item
Identifier: B002.01.0102.0105.00001
Overview Application form of Clara Brandwine for admission as a patient to the Jewish Consumptives' Relief Society. She was age 25 at the time of the application. Her place of birth states she is from Austria and immigrated to the U.S. 8 years ago. She lived in Toronto, Canada for five years before leaving for Denver. She has lived in Denver for three years, but has been sick for 4 years. The verso of the application states that she was admitted on September 26, 1910 and was discharged from the...
Dates: 1910 March 29

Clara Goldberg's Application for Admittance to JCRS, 1909 March 16

 Item
Identifier: B002.01.0101.0033.00001
Overview Application for admittance to JCRS filled out by hand in ink for Clara Goldberg. Information on the form includes her age, place of birth, occupation, residence, marital status, children's ages, membership to beneficial logdes or societies, nearest relatives, and is signed by Clara Goldberg. At the bottom of the page is a section entitled "Recommendation" which is left blank. The back of the form has a section entitled "Report of Medical Examiner," which states that the examination took place...
Dates: 1909 March 16

Clara Tochman's Application for Admittance to JCRS, 1910 February 25

 Item
Identifier: B002.01.0103.0163.00001
Overview Handwritten application for admittance to JCRS by Clara Tochman. Includes information such as age(39), place of birth (Russia), and occupation (housewife). She was married and had 3 children, and her closest relative was her husband, in New York. On the backside, it's written she was admitted on April 10, 1910, and she left on February 1911.
Dates: 1910 February 25

Clara Tochman's Second Application for Admittance to JCRS, 1911 February 25

 Item
Identifier: B002.01.0103.0163.00002
Overview Handwritten second application for admittance to JCRS by Clara Tochman. Includes information such as age(39), place of birth (Russia), and occupation (housewife). She had been to a sanatorium before and her closest relative was her husband. On the backside it's written she was admitted on February 27, 1911, and she left on March 28, 1911.
Dates: 1911 February 25

Daniel Goldberg's Application for Admittance to JCRS, 1911 August 1

 Item
Identifier: B002.01.0104.0126.00001
Overview Daniel Goldberg's handwritten application for admittance to JCRS. Includes information such as age (26), place of birth (Russia), and occupation (tailor). He was single and his nearest relative was his brother in St. Louis. On the backside it reads he was admitted on February 19, 1912, and discharged on February 19, 1913.
Dates: 1911 August 1

Dave Kirstein's Application for Admission to JCRS, 1910 April 20

 Item
Identifier: B002.01.0102.0126.00001
Overview Application form of Dave Kirstein 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 Romania and immigrated to the United States in 1906. He lived in Selma, Alabama when he contracted tuberculosis. He had been sick for 5 months upon arrival to Denver, Colorado. He was married and had one child. He also worked as an clerk. The verso of the application states he was admitted on May 16, 1910 and left on August 27,...
Dates: 1910 April 20