Skip to main content Skip to search Skip to search results

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:

Ben Rosenberg's Application for Admission to JCRS, 1910 October 24

 Item
Identifier: B002.01.0103.0089.00001
Overview Application form of Ben Rosenberg for admission as a patient to the Jewish Consumptives' Relief Society. He was age 25 at the time of the application. He was born in Russia and immigrated to the United States in 1889. He lived in Chicago when he contracted tuberculosis. He had been sick for nine months upon his arrival to Denver, Colorado. His occupation states he worked as a waiter. The verso of the application states he was admitted on November 5, 1910 and left on May 22, 1911.
Dates: 1910 October 24

Benj Barasch's Application for Admittance to JCRS, 1909 November 30

 Item
Identifier: B002.01.0102.0031.00001
Overview Application for admission to JCRS filled out by hand in ink for Benj Barasch. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, and nearest relatives. Form is signed "Benj Barasch by f.m." Nearest relative is listed as "Sarah Barasch wife 430 E. 5th NYC." In the Recommendation section at the bottom of the page there is a note that reads "Letter from Sam'l Dorf." The section "Report of the Medical Examiner" on the back side of the form...
Dates: 1909 November 30

Benj. Saritsky's Application for Admission to JCRS, 1910 August 10-1911 May 8

 Item
Identifier: B002.01.0103.0033.00001
Overview JCRS Application filled out by hand in ink for Benj. Saritsky. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and includes a signature in Yiddish. At the bottom of the page is a section entitled "Recommendation," which is left blank except for a note that reads "Letter from H. Masliansky." The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August...
Dates: 1910 August 10-1911 May 8

Benjamin Bristol's Application for Admittance to JCRS, 1910 January 31

 Item
Identifier: B002.01.0102.0076.00001
Overview Handwritten application in pencil for admittance to the JCRS for Benjamin Bristol. It includes information such as age (22), place of birth (Russia), and occupation (Salesman). He is single, has no means of support, and his nearest relatives are his mother and brother in Philadelphia. On the backside, it is written that he had tuberculosis stage II. He was admitted on April 22, 1910 and released on April 11, 1911.
Dates: 1910 January 31

Benjamin Fleischman's Application for Admittance to JCRS, 1911 August 9

 Item
Identifier: B002.01.0104.0132.00001
Overview Benjamin Fleischman's Application for Admittance to JCRS. Includes information such as age (25), place of birth (Russia), and occupation (butcher). He was single and his nearest relatives were his mother in N. J., and his father in Denver. On the backside it reads he was admitted on October 3, 1911, and died on October 24, 1911.
Dates: 1911 August 9

Benjamin Janowitz's Application for Admittance to JCRS, 1908 August 8

 Item
Identifier: B002.01.0100.0040.00001
Overview Application for admittance to JCRS filled out by hand in ink for Benjamin Janowitz. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Benjamin Janowitz. The back of the form has section entitled "Report of Medical Examiner," which states that Janowitz is suffering from tuberculosis. The middle section of the back is a form filled out by hand in ink. It reads "No.865, Application of, Benjamin Janowitz,...
Dates: 1908 August 8

Benjamin Rothman's Application for Admission to JCRS, 1910 April 15

 Item
Identifier: B002.01.0102.0120.00001
Overview Application form of Benjamin Rothman 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 Austria and immigrated to the United States in 1902. He lived in New York when he contracted tuberculosis. He had been sick for 3 years upon arrival to Denver, Colorado. He was in National Jewish Hospital before applying for JCRS. The verso of the application states he was admitted as an emergency patient on April 15, 1910 and...
Dates: 1910 April 15

Benjamin Wigatow's Application for Admission to JCRS, 1911 September 25

 Item
Identifier: B002.01.0104.0158.00003
Overview Application form of Banjamin Wigatow for admission as a patient to the Jewish Consumptives' Relief Society. He was age 21 at the time of the application. He was born in Russia and immigrated to the United States in 1906. He lived in New York City when he contracted tuberculosis. He had been sick for five months upon his arrival to Denver, Colorado. His occupation states he worked as a cigar maker. The verso of the application states he was admitted on November 2, 1911 and was discharged on...
Dates: 1911 September 25

Bennie Levy's Application for Admittance to JCRS, 1910 October 07

 Item
Identifier: B002.01.0103.0084.00001
Overview Handwritten application in pencil for admittance to JCRS for Bennie Levy. It includes information such as age (22), place of birth (Russia), and occupation (clerk). He was single and had no children. He had no means of support and his nearest relatives were cousins in Michigan and Wisconsin. On the backside it is written that he had tuberculosis, was admitted October 17, 1910, left on February 9, 1911, but died in Denver, February 15, 1911.
Dates: 1910 October 07

Bennie Pitchinocc's Application for Admittance to JCRS

 Item
Identifier: B002.01.0101.0076.00001
Overview Application for admission to JCRS filled out by hand in ink for Bennie Pitchinocc. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Bennie Pitchinocc. At the bottom of the page, the section "Recommendation" lists two names. The first reads "Name M. [illegible], Address 1600 Sheridan Boul." The second reads "Name Dora Applebaum, Address 1600 Sheridan Boul." The back of the form has section entitled "Report of Medical...
Dates: 1909