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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:

William Pevareff's Application for Admittance to JCRS, 1911 March 3

 Item
Identifier: B002.01.0103.0167.00001
Overview Handwritten application by William Pevareff for admittance to JCRS. Application includes information such as: age (20); place of birth (Russia); marital status (single); closest relatives (parent: Louis and Eva Pevareff in Brooklyn, NY). On backside, application notes Pevareff has stage II pulmonary tuberculosis in both lungs. Application indicates Pevareff was admitted to the Sanatorium on May 19, 1911 and left on September 27, 1911.

William Stamp's Application for Admission to JCRS, 1910 March 4

 Item
Identifier: B002.01.0102.0090.00001
Overview Application form of William Stamp for admission as a patient to the Jewish Consumptives' Relief Society. He was age 39 at the time of the application. His place of birth states he is from Canada and came to the United States in 1881, however, he is a U.S. citizen and lived in Ogdensburg, N.Y. for 10 years. He was previously admitted to St. John's Hospital in Ogdensburg, N.Y. before he arrived in Denver. On the verso the application states that he was admitted on May 6, 1910 and was discharged...

Wolf Heller's Application for Admittance to JCRS, 1905 November 2

 Item
Identifier: B002.01.0100.0024.00003
Overview Application for admittance to JCRS filled out by hand in ink for Wolf Heller. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Wolf Heller. Under "Recommendation" are two names and addresses. Samuel F. Disraelly 1652 Larimer St., and L. Bricker 2240 Larimer. The back of the form has section entitled "Report of Medical Advisory Board," which is blank. Below this is another section which reads "Report...

Wolf Heller's Application for Admittance to JCRS

 Item
Identifier: B002.01.0100.0024.00004
Overview Application for admittance to JCRS filled out by hand in ink for Wolf Heller. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Wolf Heller. Under "Recommendation" are two names and addresses. Daniel [illegible] Neuman, 227 [Empire] Bldg., and Mrs. Nate Cohen, 1276 Corona St. The back of the form has section entitled "Report of Medical Examiner," which is blank. The middle section of the back is a form...

Wolf Heller's Application for Admittance to JCRS, 1906 October 4

 Item
Identifier: B002.01.0100.0024.00005
Overview Application for admittance to JCRS filled out by hand in ink for Wolf Heller. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Wolf Heller. The back of the form has section entitled "Report of Medical Advisory Board," which is blank. Below this is another section which reads "Report of Executive Committee," which is blank. The middle section of the back is a form filled out by hand in ink. It reads...

Wolf Heller's Fifth Application for Admittance to JCRS, 1908 September 24

 Item
Identifier: B002.01.0100.0024.00001
Overview Application for admittance to JCRS filled out by hand in ink for Wolf Heller. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Wolf Heller. Under "Recommendation" are two names and addresses. B. Zeiderman, 1509 Decatur St., and M. Rosenbaum, 2512 W. Colfax. The back of the form has section entitled "Report of Medical Examiner," dated Sept. 28, 1908 and states that upon examination, patient is well...

Wolf Heller's Fourth Application for Admittance to JCRS, 1907 July 24

 Item
Identifier: B002.01.0100.0024.00006
Overview Application for admittance to JCRS filled out by hand in ink for Isidore Berash. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives. Next to Signature reads "Refused to sign."The middle section of the back is a form filled out by hand in ink. It reads "Application No. 544 Case No. 344, Application of, Wolf Heller, Denver, Colorado, Received July 24, 1907, Admitted July 8, 1907, Discharged August 1, 1907." Next to...

Wolf Nathan's Application for Admittance to JCRS, 1908 December 17

 Item
Identifier: B002.01.0100.0112.00001
Overview Application for admittance to JCRS in Denver, Colorado filled out by hand in ink for Wolf Nathan. Information on the form includes his age, birth place, when patient came to the U.S., citizenship, occupation, residence and former residence information, information about illness, marital status, number of children and their ages, nearest relatives and friends, and the form is signed by Wolf Nathan. The lower portion of the application includes two character recommendations, names and addresses,...

Wolf Sifrim's Application for Admittance to JCRS, 1909 May 3

 Item
Identifier: B002.01.0101.0055.00001
Overview Application for admittance to JCRS filled out by hand in ink for Wolf Sifrim. Information on the form includes his age, place of birth, occupation, residence, marital status, children's ages, nearest relatives, and signed by Wolf Sifrim. At the bottom of the page, under "Recommendation" are two names and addresses. The first name and address reads "L. [illegible], 1423 Hooker St." The second reads "Marx Weitz, 1437 Hooker St." The back of the form has section entitled "Report of Medical...