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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 68 Collections and/or Records:

David Gordon's Application for Admission to JCRS, 1911 September 13

 Item
Identifier: B002.01.0104.0152.00001
Abstract Application form of David Gordon for admission as a patient to the Jewish Consumptives' Relief Society. He was age 43 at the time of the application. He was born in Romania and immigrated to the United States in 1904. He lived in Port Chester, New York when he contracted tuberculosis. He had been sick for one year upon his arrival to Denver, Colorado. He was married and had four children. His occupation states he worked as an agent. The verso of the application states he was admitted on...
Dates: 1911 September 13
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1963 David Gordon

David Sutton's Application for Admittance to JCRS, 1911 August 3

 Item
Identifier: B002.01.0104.0129.00001
Abstract

David Sutton's handwritten application for admittance to JCRS. Includes information such as age (24), place of birth (Russia), and occupation (presser). He was single and his nearest relative was his brother in K.C. On the backside it reads he was admitted on October 25, 1911, and discharged on May 15, 1912.

Dates: 1911 August 3
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1927 David Sutton

Fanny Reeder's Application for Admission to JCRS, 1911 September 14

 Item
Identifier: B002.01.0104.0153.00001
Abstract Application form of Fanny Reeder for admission as a patient to the Jewish Consumptives' Relief Society. She was age 24 at the time of the application. She was born in Russia and immigrated to the United States in 1905. She lived in Chicago when she contracted tuberculosis. She had been sick for twelve months upon her arrival to Denver, Colorado. She was divorced. Her occupation states she worked as a tailor. The verso of the application states she was admitted on October 16, 1911, and was...
Dates: 1911 September 14
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1964 Fanny Reeder

Harry Blumenthal's Application for Admittance to JCRS, 1911 August 4

 Item
Identifier: B002.01.0104.0130.00001
Abstract

Harry Blumenthal's handwritten application for admittance to JCRS. Includes information such as age (44), place of birth (Russia), and occupation (mercant). He was married and had 6 children, and his nearest relative was his wife. On the backside it reads he was admitted on December 4, 1911, and died on July 21, 1912.

Dates: 1911 August 4
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1928 Harry Blumenthal

Harry Minden's Application for Admittance to JCRS, 1911 September 1

 Item
Identifier: B002.01.0104.0142.00001
Abstract

Harry Minden's handwritten application for admittance to JCRS. Includes information such as age (51), place of birth (Brooklyn, N.Y.), and occupation (cigar maker). He was married, had one child, and his nearest relatives were his daughter in N.Y. and wife in Illinois. On the backside it reads he was admitted on October 23, 1911, and left on October 26, 1911.

Dates: 1911 September 1
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1953 Harry Minden

Henry Schnoor's Application for Admission to JCRS, 1911 June 15

 Item
Identifier: B002.01.0104.0151.00001
Abstract Application form of Henry Schnoor 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 1902. He lived in New York City when he contracted tuberculosis. He had been sick for one and half years upon his arrival to Denver, Colorado. He was married and had one child. His occupation states he worked as a store keeper. He was in Riverdale Hospital before applying for JCRS....
Dates: 1911 June 15
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1962 Henry Schnoor

Henry Schnoor's Application for Admission to JCRS, 1911 September 1

 Item
Identifier: B002.01.0104.0151.00003
Abstract Application form of Henry Schnoor 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 1902. He lived in New York City when he contracted tuberculosis. He had been sick for one and half years upon his arrival to Denver, Colorado. He was married and had one child. His occupation states he worked as a store keeper. He was in Riverdale Hospital before applying for JCRS....
Dates: 1911 September 1
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1962 Henry Schnoor

Herman Stitch's Application for Admission to JCRS, 1911 September 5

 Item
Identifier: B002.01.0104.0159.00001
Abstract

Application form of Herman Stitch for admission as a patient to the Jewish Consumptives' Relief Society. He was age 25 at the time of the application. He was born in New York. He lived in Brooklyn when he contracted tuberculosis. He had been sick for three years upon his arrival to Denver, Colorado. His occupation states he worked as a machinist. The verso of the application does not have any admission or discharge dates listed.

Dates: 1911 September 5
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1970 and #33 Herman Stitch

Herman Stitch's Application for Admission to JCRS, 1911 September 25

 Item
Identifier: B002.01.0104.0159.00002
Abstract

Application form of Herman Stitch for admission as a patient to the Jewish Consumptives' Relief Society. He was age 25 at the time of the application. He was born in New York. He lived in Brooklyn when he contracted tuberculosis. He had been sick for three years upon his arrival to Denver, Colorado. His occupation states he worked as a machinist. The verso of the application states he was admitted on November 2, 1911 and died on December 1, 1911.

Dates: 1911 September 25
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1970 and #33 Herman Stitch

Hyman Daily's Application for Admission to JCRS, 1910 July 1

 Item
Identifier: B002.01.0104.0148.00001
Abstract Application form of Hyman Daily for admission as a patient to the Jewish Consumptives' Relief Society. He was age 16 at the time of the application. He was born in Russia and immigrated to the United States in 1909. He lived in Houston, Texas when he contracted tuberculosis. He had been sick for six months upon his arrival to Denver, Colorado. His occupation states he worked as a school boy. The verso of the application states he was admitted on August 8, 1910 and was discharged on September...
Dates: 1910 July 1
Found in: Special Collections and Archives / B002, Jewish Consumptives' Relief Society Records / Patient Records / Box 104 - Patient admit dates: March 1911-November 1911 / JCRS Patient #1500 Hyman Daily

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