As a result of this crisis, Project Ezrah has developed a special fund to assist Bergen County community members whom have been financially impacted by Covid-19 and are in need of additional assistance. This program provides a one time distribution of up to $2,000 per eligible family.  If you already got assistance through this fund but are still having difficulties due to inpacts from Covid-19 you are welcome to apply again.

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Email *
Last Name? *
First Name? *
Marital status *
Spouse's First Name?
Spouse's Last Name?
Home Address ? *
City? *
State? *
Zip Code? *
Home Telephone Number? *
Cell Number? *
Spouse's Cell Number?
Shul Daven at and/or Rav's Name? *
Total Number of Household Members Living at Home before Covid-19? *
Total Number of Household Members Being Supported (children, parents, grandparents) since Covid-19? *
Employer *
Occupation *
Spouse's Employer
Spouse's Occupation
Reason For Request? *
Are you receiving unemployment? *
If you are unemployed, provide the date you last worked.
Amount of Request up to $2,000 *
Provide your total MONTHLY income including gifts, parental support, etc. PRIOR to Covid-19 *
Provide your total CURRENT MONTHLY income including gifts, parental support, etc. *
Provide the total CURRENT balance in your checking, savings, and bank accounts. *
Provide the total CURRENT balance in your retirement accounts. *
List other sources of Financial Assistance. *
Are you receiving any other communal assistance in 2020 or 2021? (e.g. Maos Chitim/Passover Fund, etc.) If yes, please explain (Note: You are still likely eligible for funds, even if you do receive from other sources) *
Are you interested in any other assistance?
Project Ezrah reserves the right to contact your Rabbi and for those who  prefer to not complete this form, call Rachel Krich directly at Project Ezrah -  201-569-9008 or email
A copy of your responses will be emailed to the address you provided.
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