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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:

Anna Rosenberg's Application for Admittance to JCRS, 1911 August 8

 Item
Identifier: B002.01.0104.0131.00001
Overview Anna Rosenberg's handwritten application for admittance to JCRS. Includes information such as age (38), and place of birth (Ostrova). She was married and had two children, and her nearest relatives were her husband and brother in Boulder, Colo. The backside is blank.
Dates: 1911 August 8

Annie Cray's Application for Admission to JCRS, 1910 June 20

 Item
Identifier: B002.01.0102.0164.00001
Overview Application form of Annie Cray for admission as a patient to the Jewish Consumptives' Relief Society. She was age 53 at the time of the application. She was born in Russia and immigrated to the United States in 1906. She lived in Philadelphia when she arrive to the U.S., but contracted tuberculosis in Russia. She had been sick for seven or eight years upon arrival to Denver, Colorado. She was married and had four children. The verso of the application states she was admitted as an emergency...
Dates: 1910 June 20

Annie Hornstein's Application for Admittance to JCRS, 1909 November 11

 Item
Identifier: B002.01.0102.0033.00001
Overview Emergency application for admission to JCRS hanwritten in pen for Annie Hornstein. The form have information on her age, place of birth, and marital status. She had been in the National Jewish Hospital prior to the JCRS, and she had been sick for four years. Her nearest relative was her husband, Gus Hornstein, 1523 Decatur Street. Form is signed by Annie Hornstein. The back side of the form states that she was admitted on November 11, 1909, and discharged on November 21, 1909.
Dates: 1909 November 11

Annie Jacobs's Application for Admittance to JCRS, 1909 January 29

 Item
Identifier: B002.01.0101.0015.00001
Overview Application for admittance to JCRS filled out by hand in ink for Annie Jacobs. Information on the form includes her age, birth place, occupation, residence, marital status, children's ages, membership to Beneficial Societies and lodges, nearest relatives, and signed by Annie Jacobs. At the bottom of the page is a section entitled "Recommendation" is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination was made January 29, 1909 and...
Dates: 1909 January 29

Application for Admittance to JCRS for Hyman Osherofsky, 1909 December 06

 Item
Identifier: B002.01.0102.0037.00001
Overview Handwritten application for admittance to the JCRS in pen for Hyman Osherofsky, with information such as age (19), place of birth (Russia), and ocupation (Operator). His nearest relative is his father, in N.Y.C. The form is signed by H. Osherofsky. On the the back side it is written he had stage III tuberculosis, advanced case, both lungs involved. It is also written he was admitted on December 30, 1909, and he died on January 13, 1910.
Dates: 1909 December 06

Application for Compensation, 1955 April

 Item
Identifier: B333.05.0001.0005.00012
Overview Application from the Compensation Office headed: "Application On the basis of the federal supplementary security for compensation for victims of national socialist persecution." Application goes along with the Notice of Compensations.
Dates: 1955 April

Application for Sponsorship to JCRS, 1909 May 24

 Item
Identifier: B002.01.0102.0064.00003
Overview Handwritten application for sponsorship with JCRS New York letterhead. "It reads Name: Michael Leckstein, Address: 276 Monroe St. N.Y. City, Age: 26 Years, Occupation: Taylor, Married: Yes, Nativity: Russia, Duration of Disease: 18 Months, Ever been to hospital or sanatorium: No, Member of Lodge or Society: No."
Dates: 1909 May 24

Application from J. Schwartz to JCRS, 1908 December 16

 Item
Identifier: B002.01.0100.0111.00001
Overview Application for admittance to JCRS in Denver, Colorado filled out by hand for Joe Schwartz and dated "Decem. 16 1908" [sic]. Information on the form includes the patient's age, birth place, citizenship, occupation, current residence and residence information, health information, marital status, number of children and their ages, nearest relatives or friends, and the application is signed by Joe Schwartz. The bottom of the form is labled "RECOMMENDATION...Signed at Denver this 16 day of Decem....
Dates: 1908 December 16

Arthur Blair's Application for Admittance to JCRS, 1910 August 17

 Item
Identifier: B002.0103.0037.0001
Overview Arthur Blair's handwritten application for admittance in ink to the JCRS. Includes information such as age (22), place of birth (San Antonio, Texas), and occupation (violinist). His nearest relative was his father, in San Antonio, Texas. On the backside it reads he was an emergency case, admitted on August 17, 1910, and died on September 27, 1910.
Dates: 1910 August 17

Asher Cooper's Application for Admission to JCRS, 1910 October 21

 Item
Identifier: B002.01.0103.0088.00001
Overview Application form of Asher Cooper for admission as a patient to the Jewish Consumptives' Relief Society. He was age 34 at the time of the application. He was born in Russia and immigrated to the United States in 1899. He lived in New York City, but contracted tuberculosis in Brockten Massachusetts. He had been sick for one year upon his arrival to Denver, Colorado. The verso of the application states he was admitted on November 14, 1910 and was discharged on May 24, 1911.
Dates: 1910 October 21