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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:

Additional Application for Admittance to JCRS, 1909 November 24-1911 January 24

 Item
Identifier: B002.01.0102.0029.00002
Overview Application for admittance form with only the middle section of the back of the form filled out. Middle section on back reads "Application No. 1284. Case No. 977. Application of Rosa Jolitzky. Address 1440 - Knox Court. Received Nov 24 1909. Admitted Feb 4 1910. Left January 24/11."

Adolph Fiertag's Application for Admittance to JCRS, 1910 May 10-1910 July 4

 Item
Identifier: B002.01.0103.0005.00001
Overview Application for admittance to JCRS filled out by hand in ink for Adolph Fiertag. Information on the form includes his age, birth place, occupation, residence, marital status, previous hospital stays, membership to beneficial societies and lodges, nearest relatives, and signed by Adolph Fiertag. At the bottom of the page is a section named "Recommendation," which is left blank. The back of the form has section entitled "Report of Medical Examiner," which is left blank. The middle section of the...

Adolph Fiertag's Second Application for Admittance to JCRS, 1910 July 5-1910 August 9

 Item
Identifier: B002.01.0103.0005.00002
Overview Second application for admittance to JCRS filled out by hand in ink for Adolph Fiertag. Information on the form includes his age, birth place, occupation, residence, marital status, previous hospital stays, membership to beneficial societies and lodges, and nearest relatives, and is unsigned. At the bottom of the page is a section named "Recommendation," which is left blank. The back of the form has section entitled "Report of Medical Examiner," which is left blank. The middle section of the...

Adolph Laxer's Application for Admittance to JCRS, 1911 August 1

 Item
Identifier: B002.01.0104.0123.00001
Overview Adolph Laxer's handwritten application for admittance to JCRS. Includes information such as age (43), place of birth (Austria), and occupation (operator). He was married and had 3 children, and his nearest relative was his wife in N.Y. On the backside it reads he was admitted on August 15, 1911, and left on october 31, 1911.

Adolph Linn's Application for Admission to JCRS, 1910 August 8-1911 October 14

 Item
Identifier: B002.01.0103.0032.00001
Overview JCRS Application filled out by hand in ink for Adolph Linn. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Adolph Linn. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 11, 1910 and found Linn to be suffering from incipient tuberculosis. The report of...

Adolph Schkolnick's Application for Admission to JCRS, 1911 October 9

 Item
Identifier: B002.01.0104.0165.00001
Overview Application form of Adolph Schkolnick for admission as a patient to the Jewish Consumptives' Relief Society. He was age 35 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 one year upon his arrival to Denver, Colorado. He was married and had three children. His occupation states he worked as a laundry man. He was in the Baley Seton Hospital in New York before...

Albert Heck's Application for Admission to JCRS, 1909 December 6

 Item
Identifier: B002.01.0104.0034.00001
Overview Application form of Albert Heck 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 1903. He lived in Philadelphia when he contracted tuberculosis. He had been sick for two years upon arrival to Denver, Colorado. He was married and had one child. He also worked as a tailor. He was in Pennsylvania State South Mountain Sanatorium before applying for JCRS. The verso of the...

Albert Heck's Application for Admission to JCRS, 1911 April 13

 Item
Identifier: B002.01.0104.0034.00007
Overview Application form of Albert Heck for admission as a patient to the Jewish Consumptives' Relief Society. He was age 27 at the time of the application. He was born in Russia and immigrated to the United States in 1903. He lived in Philadelphia when he contracted tuberculosis. He had been sick for three years upon arrival to Denver, Colorado. He was married and had one child. He also worked as a tailor. He was in Pennsylvania State South Mountain Sanatorium and JCRS before applying for JCRS again....

Albert Heck's Application for Admission to JCRS, undated

 Item
Identifier: B002.01.0104.0034.00008
Overview Application form of Albert Heck for admission as a patient to the Jewish Consumptives' Relief Society. He was age 28 at the time of the application. He was born in Russia and immigrated to the United States in 1903. He lived in Philadelphia when he contracted tuberculosis. He had been sick for three years upon arrival to Denver, Colorado. He was married and had two childred. He also worked as a tailor. He was in Pennsylvania State South Mountain Sanatorium and JCRS before applying for JCRS...

Albert Scrinopskie's Application for Admission to JCRS, 1910 March 3

 Item
Identifier: B002.01.0102.0089.00001
Overview Application form of Albert Scrinopskie for admission as a patient to the Jewish Consumptives' Relief Society. Scrinopskie filled out the form from Edgewater, Colorado where he was a patient at Fern Hill Sanatorium. He was age 27, married, and had one child at the time of the application. His place of birth states he is from Russia and came to the United States in 1889, however, he is a U.S. citizen and lived in Topeka Kansas for 20 years. On the bottom of the application there is a...