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Weekly Voucher Application

Bringing the joy and celebration of Shabbos and Yom Tov to hundreds of homes throughout the Crown Heights community with dignity and serenity.
Please complete this online application form so Chevra Simchas Shabbos V'Yom Tov can better assist your needs.
Should you find it difficult to complete this application form, please contact us at (718) 774-5270 or email office@cssy.org

Enter apartment or suite number, if necessary.

City*

Enter your primary phone number.

Enter your secondary phone number, if you have one.

Do you rent or own a home?*

Marriage Status*

How many of your children live with you at home?

What is your current occupation? Do you have a job?

What is your spouse's current occupation? Does your spouse have a job?

Government Assistance*

Enter reference name and phone number. e.g. John Doe, (718) 123-4567

Enter reference name and phone number. e.g. John Doe, (718) 123-4567

Do you receive assistance from other organizations?

Add any additional questions or comments you may have.

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Marriage Status*

How many children do you have?*

Please fill in below the name, age, and school of each of your children.

Were you working prior to the COVID-19 pandemic?*

Has your work been effected due to COVID-19?*

Did you apply for Unemployment Benefits & COVID-19 Government Relief?*

Do you rent or own a home?*

Will you be home for Pesach?*

Are you hosting guests for Pesach? If so, how many?*

Government Assistance*

Enter reference name and phone number. e.g. John Doe, (718) 123-4567

Enter reference name and phone number. e.g. John Doe, (718) 123-4567

Do you receive assistance for Pesach from other organizations?*

Add any additional questions or comments you may have.

Please review your application before submitting to ensure all information is correct and accurate.

*Applying is not a guarantee that services will be provided.* Though CSSY will attempt to help all individuals in need of Kosher food, in the case of limited resource, the organization will prioritize candidates based on need and first come – first serve basis.