Request Your First Tefillin · Tefillin Program

About you

First name

Last name

Email address

Every update is sent here, so check it carefully.

Phone number

Hebrew name

Mother's Hebrew name

I already own a pair of tefillin

This program is intended for a first pair, but you may still apply.

Which of your parents are Jewish?

Mother

Father

None

Your tefillin

Which hand do you write with?

Right-handed

Left-handed

Nusach

Ashkenaz

Sefardi

Chabad

Not sure

If you're not sure, we'll confirm with your rabbi before shipping.

Shipping address

Street address

Where should we ship your new pair of tefillin?

Apartment, suite, etc. (optional)

City

State

ZIP code

Your rabbi

Tell us about your rabbi and your community.

Rabbi's name

Rabbi's phone number

Synagogue, Chabad House, or organization

In a few sentences: why do you want to start wrapping tefillin? What got you interested? Why are you applying for this grant?

Tefillin pledge

By accepting these tefillin, I sincerely commit, bli neder, to putting on tefillin every weekday, excluding Shabbos and Yom Tov. I understand that these tefillin are being provided based on this commitment.

I accept the Tefillin Pledge and commit, bli neder, to putting on tefillin every weekday.

If accepted I agree to donate at least $180 USD towards the teffilin. (100% goes back to funding teffilin grants)

I agree

Signature