Store Application

New Establishment Application

Step 3 : Applicant Information
Applicant/s detailed personal information form
All Partners and investors are required to complete this form
Full Name
First Middle Last
Address*
City*
State / Province / Region*
Zip*
Country
Phone*
Cell*
Email*
Education
Please list the Yeshivos that your children attend or have attended
School*
Address*
School
Address
School
Address
References
Please list two Rabbinical references i.e. Rav, Rebbe, Rosh Yeshiva,
Rabbi’s Name*
Relationship*
Shul*
Phone*
Address*
Rabbi’s Name*
Relationship*
Shul*
Phone*
Address*
Please list one non Rabbinic reference
Full Name*
Relationship*
Company*
Phone*
Address*
Signature*
Date
MM slash DD slash YYYY
Untitled
*
- IMPORTANT: Two letters of recommendation from two Rabbonim on their official letter head must be attached to this Form for each applicant The letter must include
A) How the Rav knows the applicant
B) How long the Rav knows the applicant
C) The letter must attest to the status of the applicants Shmiras Shabbos and must address the level of their Halachic integrity.
File*

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 300 MB.

Steps 4 : Disclaimer and Signature
*
- IMPORTANT: All applications must be approved by the Vaad HaKashrus committee. You will be informed in writing of the committee’s decision subsequent to an initial inspection of your facility by a Vaad representative. If approved, you will be asked to sign an agreement detailing the rules and regulations of our supervision. You may not display or advertise the Vaad’s name or logo until you have received a countersigned agreement from our office.
Signature*
Date
MM slash DD slash YYYY

Step 1 : Company Contact Information