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:
Abe Gutnick's Third Application for Admittance to JCRS, 1909 April 14
Item
Identifier: B002.01.0101.0044.00001
Overview
Third 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 "M. Leaphine, Address 917 15th st." The second reads "M. Ginsborg, Address 1437 [illegible]." The back of the form has section entitled "Report of...
Dates:
1909 April 14
Abe Kushneroff's Application for Admittance to JCRS, 1908 November 30
Item
Identifier: B002.01.0100.0107.00001
Overview
Application for admittance to JCRS filled out by hand in ink for Abe Kushneroff. Information on the form includes his age, birth place, citizenship, occupation, current residence [Denver, CO] former residence [Memphis, TN], medical information [treated at National Jewish Hospital for Consumptives], marital status, and nearest relatives or friends "Max Kushneroff (father) ...Julius "[Kushneroff] (brother)" [sic]. The back of the form has section entitled "Report of Medical Examiner," which...
Dates:
1908 November 30
Abe Lieberman's Application for Admission to JCRS, 1910 April 20
Item
Identifier: B002.01.0102.0125.00001
Overview
Application form of Abe Lieberman for admission as a patient to the Jewish Consumptives' Relief Society. He was age 29 at the time of the application. He was born in Russia and immigrated to the United States in 1908. He lived in Philadelphia, Pennsylvania when he contracted tuberculosis. He had been sick for 7 months upon arrival to Denver, Colorado. He was married and had three children. He also worked as a presser. He was in the Jewish Hospital in Pennsylvania before applying to JCRS. The...
Dates:
1910 April 20
Abe Vicksman's Application for Admittance to JCRS, 1908 July 3
Item
Identifier: B002.01.0100.0015.00001
Overview
Application for admittance to JCRS filled out by hand in ink for Abe Vicksman. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Abe Vicksman. The back of the form has section entitled "Report of Medical Examiner," which is blank. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 831 Case No. 561, Application of, Abe Vicksman, Received July 3, 1908, Accepted...
Dates:
1908 July 3
Abraham Breitenberg's Application for Admission to JCRS, 1911 March 14
Item
Identifier: B002.01.0103.0153.00001
Overview
Application form of Abraham Breitenberg for admission as a patient to the Jewish Consumptives' Relief Society. He was age 47 at the time of the application. He was born in Russia and immigrated to the United States in 1883. He lived in Cleveland when he contracted tuberculosis. He had been sick for two months upon arrival to Denver, Colorado. He was married and had one child. His occupation states he worked as a tailor. He belonged to I.O.B.A. lodge #37. The verso of the application states he...
Dates:
1911 March 14
Abraham Burger's Application for Admittance to JCRS, 1909 March 27
Item
Identifier: B002.01.0101.0041.00001
Overview
Application for admittance to JCRS filled out by hand in ink for Abraham Burger. Information on the form includes his age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives and is signed by Abraham Burger. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Name Sam Lang, Address 918 15th St." The second reads "L.M. Weiner, Address 1284 Corona St." The back of the form has section entitled "Report of...
Dates:
1909 March 27
Abraham Cohen's Application for Admission to JCRS, 1910 September 28
Item
Identifier: B002.01.0104.0024.00001
Overview
Application form of Abraham Cohen for admission as a patient to the Jewish Consumptives' Relief Society. He was age 40 at the time of the application. He was born in Russia and immigrated to the United States in 1899. He lived in New York City when he contracted tuberculosis. He had been sick for seven years upon arrival to Denver, Colorado. He was married and had one child. He also worked as a peddler. He was in South Side Hospital Pittsburgh, Pennsylvania for three weeks before applying for...
Dates:
1910 September 28
Abraham Cohen's Application for Admission to JCRS, 1910 September 26
Item
Identifier: B002.01.0104.0024.00002
Overview
Abraham Cohen's second application for admission as a patient to the Jewish Consumptives' Relief Society. He was age 40 at the time of the application. He was born in Russia and immigrated to the United States in 1899. He lived in New York City when he contracted tuberculosis. According to this application he had been sick for six years upon arrival to Denver, Colorado. He was married and had one child. He also worked as a Hebrew teacher. He was in South Side Hospital Pittsburgh, Pennsylvania...
Dates:
1910 September 26
Abraham Cohen's Application for Admission to JCRS , 1911 April 4
Item
Identifier: B002.01.0104.0024.00011
Overview
Abraham Cohen's third application for admission as a patient to the Jewish Consumptives' Relief Society. He was age 40 at the time of the application. He was born in Russia and immigrated to the United States in 1898. He lived in New York City when he contracted tuberculosis. According to this application he had been sick for six years upon arrival to Denver, Colorado. He was married and had one child. He also worked as a Hebrew teacher. He was in South Side Hospital Pittsburgh, Pennsylvania...
Dates:
1911 April 4
Abraham Finberg's Application for Admittance to JCRS, 1908 November 20
Item
Identifier: B002.01.0100.0102.00001
Overview
JCRS Application for Admittance filled out in ink for Patient #970 Abraham Finberg "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "November 20th 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, and nearest relatives or friends; "Bertha Finberg (Mother) 10 Fayston St Roxbury Mass. L Goldstein...
Dates:
1908 November 20