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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:

Alec [Alex] Nasborg's Application for Admittance to JCRS, 1908 November 16

 Item
Identifier: B002.01.0100.0100.00001
Overview JCRS Application for Admittance filled out in ink for Patient #967 A. Nasborg "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "November 16th 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; "He claims to have neither relatives nor friends former employer, Mr. Meyer Horwitz...

Alex Shifman's Application for Admittance to JCRS, 1909 May 28

 Item
Identifier: B002.01.0101.0069.00001
Overview Application for admission to JCRS filled out by hand in ink for Alex Shifman. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by A. Shifman. At the bottom of the page, under the section "Recommendation," are two names and addresses. The first reads "Louis Shapiro, 2709 W Colfax ave" and the second reads "Nathan Wiener, 2626 W Colfax ave." The back of the form has section entitled "Report of Medical Examiner," which...

Alex Vendig's Application for Admittance to JCRS, 1909 June 5

 Item
Identifier: B002.01.0101.0075.00001
Overview Application for admittance to the JCRS filled out by hand in ink for Alex Vendig. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed in ink by Alex Vendig. At the bottom of the page is a section, "Recommendation," is left blank except for a note that reads "Letter from Samu'l Dorf." The back of the form has a section entitled "Report of Medical Examiner" which states that the exam took place on June 7, 1909 and diagnosed...

Alexander Bach's Application for Admittance to JCRS, 1910 August 25

 Item
Identifier: B002.01.0103.0045.00001
Overview Alexander Bach's handwritten application for admittance to JCRS. Includes information such as age (19), place of birth (Russia), and occupation (drug clinic). He was single and his means of support was his father, and his nearest relative was his father, M. Bach, N.J. On the backside it reads he was admitted on September 30/10, and was discharged on May 05, 1911.

Alexander Echowitz's Application for Admittance to JCRS, 1909 October 18

 Item
Identifier: B002.01.0102.0007.00001
Overview Application for admission to JCRS filled out by hand in ink for Alexander Echowitz. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, and nearest relatives. Form is signed "A Eckowitz." Nearest relative is listed as "Ethel Echowitz (wife) 2645 1/2 E. Mission St., Frisco." In the Recommendation section at the bottom of the page there is a note that reads "Letter from Rabbi M.S. Levy." The section "Report of the Medical Examiner" on the...

Alexander Zeitlin's Application for Admission to JCRS, 1909 April 26

 Item
Identifier: B002.01.0102.0148.00001
Overview Application form of Alexander Zeitlin 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 1890. He lived in New York when he contracted tuberculosis. He had been sick for 2 years upon arrival to Denver, Colorado. He also worked as a salesman. The verso of the application states he was admitted as an emergency patient on April 26, 1909 and left on April 30, 1909.

Alexander Zeitlin's Application for Admission to JCRS, 1910 May 30

 Item
Identifier: B002.01.0102.0148.00003
Overview Application form of Alexander Zeitlin for admission as a patient to the Jewish Consumptives' Relief Society. He was age 30 at the time of the application. He was born in Russia and immigrated to the United States in 1890. He lived in New York when he contracted tuberculosis. He had been sick for 3 years upon arrival to Denver, Colorado. He also worked as a salesman. He mentions that he was a patient at JCRS in 1909. The verso of the application states he was admitted as an emergency patient on...

Anna Cohen's Application for Admittance to JCRS, 1907 September 19

 Item
Identifier: B002.01.0099.0005.00001
Overview Application for admittance to JCRS filled out by hand for Anna Cohen and dated September 19, 1907. Information on the form includes her age, birth place, occupation, residence, marital status, nearest relatives, and signed by Anna Cohen. The back of the form has sections titled "Report of Medical Advisory Board," and "Report of Executive Committee." The middle section of the back is a form filled out by hand in ink and reads, "No. 574, Application of Anna Cohen, Received September 19, 1907,...

Anna Hornstein's Application for Admission to JCRS, 1910 May 16

 Item
Identifier: B002.01.0102.0142.00001
Overview Application form of Anna Hornstein for admission as a patient to the Jewish Consumptives' Relief Society. She was age 43 at the time of the application. The application states she immigrated to the United States in 1850, but she had only lived in Chicago, Illinois for 40 years where she contracted tuberculosis. She had been sick for 4 years and arrived to Denver, Colorado three years ago. She was married with no children. She also worked as a housewife. She was in the Jewish National Hospital...

Anna Manshell's Application for Admission to JCRS, 1910 March 19

 Item
Identifier: B002.01.0102.0103.00001
Overview Application form of Anna Manshell for admission as a patient to the Jewish Consumptives' Relief Society. She was age 30 at the time of the application. Her place of birth states she is from Russia and immigrated to the U.S. 12 years ago. She lived in Philadelphia for six years with her husband before leaving for Denver. She has lived in Denver for six years, but has been sick for seven years. The verso of the application states that she was admitted on May 10, 1910 and left the sanatorium on...