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CSSY Tishrei Application 2024

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

Marital Status*

Do you have children under the age of 24 living at home?

Children’s names, ages and birthdays*

+ -

Do you own or rent?*

(If not employed, please write NA in the relevant fields)

(If not employed, please write NA in the relevant fields)

Net Annual Household Income

Do you receive any government assistance?*

Do you receive Tishrei assistance from other organizations?*

Will you spend Tishrei at Home?*

How many guests do you plan on hosting for Tishrei?*

What shul do you go to?*

Who is your Rabbi/Mshpia?*

 

 

Enter Reference 1 First Name

Enter Reference 1 Last Name

Enter Reference 1 Phone Number

Enter Reference 2 First Name

Enter Reference 2 Last Name

Enter Reference 2 Phone Number

How did you hear about us/who referred you?*

Add any additional questions or comments you may have.

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