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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:

Abraham Fox's Application for Admittance to JCRS, 1909 January 2

 Item
Identifier: B002.01.0101.0007.00001
Overview Application for admittance to JCRS filled out in ink for Abraham Fox. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest friends, and signed by Abraham Fox. At the bottom of the front page, the section "Recommendation" is blank. The back of the form has section entitled "Report of Medical Examiner," which states the exam took place on January 4 1908, that Abraham Fox suffers from Stage II tuberculosis, with "involvement of...
Dates: 1909 January 2

Abraham Gershonowitz's Application for Admission to JCRS, 1910 April 12

 Item
Identifier: B002.01.0102.0115.00001
Overview Application form of Abraham Gershonowitz for admission as a patient to the Jewish Consumptives' Relief Society. He was age 31 at the time of the application. He was born in Russia and immigrated to the United States in 1905. He lived in New York City when he contracted tuberculosis. He had been sick for 4 weeks upon arrival to Denver, Colorado. He was married and had one child. He also worked as an operator. He was in Bellview Hospital New York City before applying for JCRS. The verso of the...
Dates: 1910 April 12

Abraham Goldstein's Application for Admittance to JCRS, 1909 December 09

 Item
Identifier: B002.01.0102.0035.00001
Overview Application of admittance to JCRS handwritten in pen for Abraham Goldstein. It has information such as age, place of birth (Russia), and marital status. In "To what beneficial societies or lodges do you belong", "none" is crossed out followed by "father member of OBA". For his nearest relatives, father and mother are written. On the back side, it is written he is on stage III of pulmonaty tuberculosis, and "consolidation in both lungs", by December 4, 1909. His application was received on...
Dates: 1909 December 09

Abraham Kaiser's Application for Admittance to JCRS, 1908 July 24

 Item
Identifier: B002.01.0100.0031.00001
Overview Application for admittance to JCRS filled out by hand in ink for Abraham Kaiser. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Abraham Kaiser. Under "Recommendation" are two names and addresses, one name is illegible, the address reads 2708 W. Colfax and Louis Shapiro, 2709 W. Colfax. The back of the form has section entitled "Report of Medical Examiner," which is dated July 24, 1908 and states...
Dates: 1908 July 24

Abraham Kaplan's Application for Admission to JCRS, 1911 January 5

 Item
Identifier: B002.01.0103.0131.00001
Overview Application form of Abraham Kaplan for admission as a patient to the Jewish Consumptives' Relief Society. He was age 19 at the time of the application. He was born in New York City. He lived in New York City when he contracted tuberculosis. He had been sick for eighteen months upon arrival to Denver, Colorado. His occupation states he worked as a clerk. The verso of the application states he was admitted on February 3, 1911 and was discharged on May 15, 1912.
Dates: 1911 January 5

Abraham Kovalsky's Application for Admission to JCRS, 1911 April 6

 Item
Identifier: B002.01.0104.0026.00001
Overview Application form of Abraham Kovalsky for admission as a patient to the Jewish Consumptives' Relief Society. He was age 23 at the time of the application. He was born in Russia and immigrated to the United States in 1905. He lived in Rochester, New York when he contracted tuberculosis. He had been sick for three years upon arrival to Denver, Colorado. He was single. He also worked as a tailor. He was in the Municipal Hospital of Rochester, New York before applying for JCRS. The verso of the...
Dates: 1911 April 6

Abraham Povolotsky's Application for Admittance to JCRS, 1910 August 19

 Item
Identifier: B002.01.0103.0040.00001
Overview Abraham Povolotsky's handwritten application for admittance to JCRS. Includes information such as age (34), place of birth (Russia), and occupation (tailor). He was married, had 3 children, he was a member of Columbus Lodge No. 61 I.O.B.A., and his nearest relative is his wife, Mary Povolotsky, in New Haven, Ct. On the backside it's reads "Schapiro reported app secured position and does not wish to enter at present".
Dates: 1910 August 19

Abraham Prager's Application for Admittance to JCRS, 1908 July 6

 Item
Identifier: B002.01.0100.0018.00001
Overview Application for admittance to JCRS filled out by hand in ink for Abraham Prager. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Abraham Prager. 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. 834 Case No. 565, Application of, Abraham Prager, Received July 6, 1908,...
Dates: 1908 July 6

Abraham Schreibman's Application for Admittance to JCRS, 1910 September 26

 Item
Identifier: B002.01.0103.0069.00001
Overview Abraham Schreibman's handwritten application for admittance to JCRS. Includes information such as age (27), place of birth (Russia), and occupation (news dealer). He was married and had one children, and his nearest relatives were his brother, mother, and sister in N.Y, and his wife in Denver. On the backside, it reads he was admitted on May 18, 1911, and left on September 30, 1911.
Dates: 1910 September 26

Abram Grakovsky's Application for Admittance to JCRS, 1911 July 31

 Item
Identifier: B002.01.0104.0122.00001
Overview Abram Grokovsky's hadnwritten application for admittance to JCRS. Includes information such as age (25), place of birth (Russia), and occupation (cloaks operator). He was married and had two children, and his nearest relative was his wife in N.Y.C. On the backside it reads he was admitted as an emergency case on July 31, 1911, and died on August 3, 1911.
Dates: 1911 July 31