Kupas Yom Tov was established to assist Avreichim and Klei Kodesh with a Yom Tov stipend, in recognition of their dedication to Torah and the community.Please complete this application so we can maintain an accurate and up-to-date list.Submission of an application does not automatically guarantee assistance but allows us to properly assess needs and allocate funds responsibly.We are honored to support those who devote their lives to לימוד והרבצת התורה. Any questions: [email protected]Husband’s name(Required) First Legal Last Wife’s name(Required) First Legal Last Wife’s Maiden Name(Required)City (where originally from)(Required)Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone(Required)Husband's Phone(Required)Wife's Phone(Required)Husband’s email(Required) Wife’s email(Required) How long are you Married?(Required)Shana Rishona12345+Do you have children?(Required)Not yet12345+First Seder(Required)KollelYeshivaOtherWhich Kollel?Bais Hatalmud of Lawrence-R' Binyomin ThumimBais Medrash Lawrence Kollel-R' Yoni LevinCedarhurst Kollel-R' Moshe KaufmanHachaim Vehashalom-R' Sholom SilberbergHeichal Dovid Kollel-R' Mordechai SternIshay Yisroel-R' Zev LevitisKollel Avreichim-R' Leibel RandKollel Bais Ephraim-R' Daniel BushKollel Nefesh Hachaim-R' Yitzchok KatzKollel Tirtza Devorah-R' Dovid BenderNesiv Hatorah Kollel-R' Issac KreschNishmas Hatorah-R' Nesanel FeitShaare Emunah-R' SebbanShor Yoshuv-R' Baruch DiamondSulitz-R' Yitzchok RubinWhite Shul Kollel-R' Eliyahu RafulWoodmere Community Kollel-R Chaim ZakutinskyYeshiva Gedolah of Five Towns-R' Moshe KatzensteinYeshiva Nefesh Hachaim-R' Simcha BondiZichron Aryeh-R' Shaya CohenOtherWhich Yeshiva?(Required)Ateres ShimonMesivta Ohr HatorahMesivta Sharei ChaimMesivta Tiferes ShlomoMesivta Ateres YaakovNishmas HatorahShor YoshuvSiach YitzchokYeshiva Darchei TorahYeshiva Gedolah of Five TownsYeshiva Ketana of Long IslandYeshiva Kol TorahYeshiva Nefesh HachaimYeshiva of Far RockawayYeshiva of South ShoreOtherOther(Required)Second Seder(Required)KollelYeshivaOtherWhich Kollel?Bais Hatalmud of Lawrence-R' Binyomin ThumimBais Medrash Lawrence Kollel-R' Yoni LevinCedarhurst Kollel-R' Moshe KaufmanHachaim Vehashalom-R' Sholom SilberbergHeichal Dovid Kollel-R' Mordechai SternIshay Yisroel-R' Zev LevitisKollel Avreichim-R' Leibel RandKollel Bais Ephraim-R' Daniel BushKollel Nefesh Hachaim-R' Yitzchok KatzKollel Tirtza Devorah-R' Dovid BenderNesiv Hatorah Kollel-R' Issac KreschNishmas Hatorah-R' Nesanel FeitShaare Emunah-R' SebbanShor Yoshuv-R' Baruch DiamondSulitz-R' Yitzchok RubinWhite Shul Kollel-R' Eliyahu RafulWoodmere Community Kollel-R Chaim ZakutinskyYeshiva Gedolah of Five Towns-R' Moshe KatzensteinYeshiva Nefesh Hachaim-R' Simcha BondiZichron Aryeh-R' Shaya CohenWhich Yeshiva?(Required)Ateres ShimonMesivta Ohr HatorahMesivta Sharei ChaimMesivta Tiferes ShlomoMesivta Ateres YaakovNishmas HatorahShor YoshuvSiach YitzchokYeshiva Darchei TorahYeshiva Gedolah of Five TownsYeshiva Ketana of Long IslandYeshiva Kol TorahYeshiva Nefesh HachaimYeshiva of Far RockawayYeshiva of South ShoreOther(Required)Wife's occupation(Required)ACH InformationIf funds are allocated to you, payment will be issued via direct deposit to ensure the fastest possible delivery. Please provide your bank account information below. All information provided will be kept strictly confidential and used solely for the purpose of distributing Kupas Yom Tov assistance.Name on account(Required)Account routing number(Required)Account number(Required)Additional notes