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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:

Max Stashower's Application for Admission to JCRS, 1910 September 14

 Item
Identifier: B002.01.0104.0156.00001
Abstract Application form of Max Stashower for admission as a patient to the Jewish Consumptives' Relief Society. He was age 38 at the time of the application. He was born in Austria and immigrated to the United States in 1888. He lived in Cleveland, Ohio when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had five children. His occupation states he worked as a tailor. The verso of the application states he was admitted on...
Dates: 1910 September 14

Max Stashower's Application for Admission to JCRS, 1911 April 2

 Item
Identifier: B002.01.0104.0156.00003
Abstract Application form of Max Stashower for admission as a patient to the Jewish Consumptives' Relief Society. He was age 39 at the time of the application. He was born in Austria and immigrated to the United States in 1888. He lived in Cleveland, Ohio when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had five children. His occupation states he worked as a tailor. The verso of the application states he was admitted on April 2,...
Dates: 1911 April 2

Max Stashower's Application for Admission to JCRS, 1911 September 14

 Item
Identifier: B002.01.0104.0156.00004
Abstract Application form of Max Stashower for admission as a patient to the Jewish Consumptives' Relief Society. He was age 39 at the time of the application. He was born in Austria and immigrated to the United States in 1888. He lived in Cleveland, Ohio when he contracted tuberculosis. He had been sick for ten months upon his arrival to Denver, Colorado. He was married and had five children. His occupation states he worked as a tailor. The verso of the application states he was admitted on October...
Dates: 1911 September 14

Max Zenker's Application for Admittance to JCRS, 1906 March 28

 Item
Identifier: B002.01.0097.0128.00004
Abstract Application for admittance to JCRS filled out by hand in ink for Max Zenker. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Max Zenker. Under "Recommendation" are two names which read Herman Steiner and Morris E. Brenner. The back of the form has section entitled "Report of Medical Advisory Board," which is blank. The middle section of the back is a form filled out by hand in ink. It reads "No....
Dates: 1906 March 28

Morris Silverberg's Application for Admittance to JCRS, 1910 October 27

 Item
Identifier: B002.01.0104.0138.00001
Abstract

Morris Silverberg's handwritten application for admittance to JCRS. Includes information such as age (17), place of birth (Russia), and occupation (tailor). He was single and he's nearest relative was Max Portman, in Denver. On the backside it reads he was admitted on November 24, 1910, and discharged on August 15, 1911.

Dates: 1910 October 27

Morris Silverberg's Second Application for Admittance to JCRS, 1911 August 21

 Item
Identifier: B002.01.0104.0138.00002
Abstract

Morris Silverberg's second handwritten application for admittance to JCRS. includes information such as age (19), place of birth (Russia), and occupation (tailor). He was single and his nearest relative was his brother in New York. On the backside it reads he was admitted on November 2 1911, and discharged on July 1st, 1912.

Dates: 1911 August 21

Morris Wang's Application for Admittance to JCRS, 1911 August 1

 Item
Identifier: B002.01.0104.0133.00001
Abstract

Morris Wang's handwritten application for admittance to JCRS. Includes information such as age (3), place of birth (Austria), and occupation (tailor). He was married and had two children, and his nearest relatives were in New York.

Dates: 1911 August 1

Morris Wang's Second Application for Admittance to JCRS, 1911 August 14

 Item
Identifier: B002.01.0104.0133.00002
Abstract

Morris Wang's second handwritten application for admittance to JCRS. Includes information such as age (30), place of birth (Austria), and occupation (tailor). He was married and had 2 children, and his nearest relatives were his wife and cousin in N.Y.C. On the backside it reads he was admitted on September 13, 1911, and left on January 3, 1912.

Dates: 1911 August 14

Moses Rothenberg's Application for Admittance to JCRS, 1911 October 12

 Item
Identifier: B002.01.0104.0166.00001
Abstract

Moses Rothenberg's handwritten application for admittance to JCRS. Includes information such as age (25) and place of birth (U.S.A.). He was single and his nearest relative was his father in Ohio. On the backside it reads he was admitted on February 14, 1912, and died on April 02, 1913; "Buried at Golden Hill No. 347, Blk. 4."

Dates: 1911 October 12

Moses Rothenberg's Second Application for Admittance to JCRS, 1907 May 15

 Item
Identifier: B002.01.0104.0166.00002
Abstract

Moses Rothenberg's second handwritten application for admittance to JCRS. Includes information such as age (22), place of birth (New York), and occupation (junk peddler). He was singl and his nearest relatives were his mother and brother in Ohio. There is a post it note stuck the front page that reads "Father belongs to Jishrum Lodge #140 I.O.S.B." On the backside it reads he was admitted on 1907 June 03, and discharged on 1908 February 06.

Dates: 1907 May 15