Free Food Application Form

If you consider that your family is in need of free food assistance please fiil up the following form, 

After our consideration, and if approved, you will receive a voucher(s) to exchange for food. reserves the right to, at its own discretion, grant assistance based on funds availability.

Voucher system may be discontinued and or modified at any time without notice. uses the following eligibility criteria:



The Income Limit requirements for our free food assistance is based on the Public Housing & Development Community of Miami-Dade, FL determination for eligibility based on income for a family size of 6.

The monthly expense allocation ratio is based on a budget for a family size of 6, which is adjusted accordingly. The following are the sources used to determine the average family budget per category:

Monthly Housing Expenses: 2018 U.S. Department of Housing and Urban Development (HUD) 


Monthly Tuition Expenses: National Center Education Statistics with a discount applied for Stepup For Students, Florida State Grant 

Monthly Food Budget: USDA 2018 Family Food Budget for Family size of 6


Monthly Transportation Expenses: CNT Center for Neighborhood Technology 2018 Family National Monthly  Average Driving Cost


Monthly General Utility Expenses: Economic Policy Institute (EPI) 2018 Family Budget for Miami Dade, FL 


Monthly Medical Expenses

Economic Policy Institute (EPI) 2018 Family Budget for Miami-Dade, FL 


Average Monthly Debt Repayment: Economic Policy Institute (EPI) 2018 Family Budget  for Miami Dade, FL 


Miscellaneous Expenses: Economic Policy Institute (EPI) 2018 Family Budget for Miami-Dade, FL


What is your marital status?:
How many children living in your home?:
How many of your children attend private Jewish school?:
What is your present total income ?:
Please enter the schools your children attend.:
What is your approximate monthly food budget?:
In your words, why do think you need this assistance?:
How many cars do you have?:
What is your email address?:
Please Reenter your email address:
What is your car(s) make and year?:
What is your monthly transportation expense's?:
What is your monthly rent or mortgage?:
How much are your monthly utility bills? Please include electric, phone, water, cell phones, etc.FPL/Tel/Water/Cell):
How much is your family's monthly insurance and medical expenses?:
If you have debt, how much of your income goes to repaying that debt monthly?:
Please enter your full name.:
Please provide 3 references from Rabbis or Public community leaders (please add phone numbers):
Enter your address:
Where do you presently work? (both spouses) :