JF&CS Mitzvah Project Interest
If you are interested in completing your mitzvah project with JF&CS, please fill out the information below.
Parent/Guardian's Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mitzvah Date
*
-
Month
-
Day
Year
Date
Congregation Name
*
Project Areas of Interest (Select all that apply).
*
Children's Mental Health
Working with Older Adults
Holocaust Survivors
Individuals with Intellectual/Developmental Disabilities
Oral Hygiene (Ben Massell Dental Clinic)
Food Insecurity
Fundraising for a Program
Submit
Should be Empty: