Ner Yisrael Gemach

Please complete this online form if you wish to apply for short-term financial assistance from the Ner Yisrael Gemach. All details are treated in the strictest confidence.

Members of the Ner Yisrael synagogue facing financial hardship may request a one-time grant of up to £250 without further due diligence (other than to confirm membership).

You may also find it helpful to download this list of communal organisations that can provide practical help with dealing with financial difficulties.

By completing this form, you confirm that all details are correct and your need for assistance is genuine.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Are you a member of Ner Yisrael Synagogue, and If not, where do you live?*

Yes, I am a member of Ner Yisrael synagogueNo I am not (I live in NW London)No I am not (I live in Stamford Hill)No I am not (I live in another area of London, or outside London)No I am not (I live in Israel)No I am not (I live overseas)

Are you facing financial hardship? If so, then as a member of Ner Yisrael synagogue, you are eligible to request a one-time grant of £250 by submitting this form without any further due-diligence (other than to confirm membership).

Yes, I want to request a one-time grant of £250No, I do not want to request a one-time grant of £250

What level of financial assistance you are requesting? Please note that requests may not be met in full.*

Up to £250Between £250-£1,000Above £1,000

How urgent is the requirement?*

Very urgent I require the funds within 7 daysNot urgent but I require the funds within 30 days

Name of the bank account you for payments to be made to?

If you wish, you can provide your bank details now

Please enter bank sort code and account number?

If you wish, you can provide your bank details now

Have you approached other communal organisations for financial assistance or advice?*

No I haven'tYes I have, but they can't helpYes I have, and they are already helping me

Are you working?*

Yes, I am in full-time employmentYes, I am working part-timeNo, I have been made redundant and am looking for workNo, I am not workingNo, I am unable to work and currently claiming benefitsOther

Please provide a brief explanation of your current financial situation and why you are requesting financial assistance?*

Consent*

I understand that my application will be confidential and that by submitting this form, I consent to the Ner Yisrael Gemach contacting me to discuss my request where applicable.