Protect Your Synagogue | Community Security Service

Apply

now

to

get

started

Apply now to get started

This form is an application to become a security volunteer.
All applications will be reviewed and we will contact you for further information or next steps.

1

2

General Information

Legal First Name*

Legal Last Name*

Email*

Mobile phone number*

Date of birth*

Zip Code*

Street and number*

Synagogue Information

Current Employer/School*

Synagogue's Website* if your synagogue does not have a website, or you do not know, please write "N/A"

My synagogue has a CSS team*

In Progress - My synagogue is starting a team

Yes

No

Why do you want to join CSS?*

/ 1000

Did someone refer you to CSS? Please provide name

/ 1000

Disclaimers

I agree to adhere to the rules and discipline of CSS to the best of my ability*

I hereby declare that the information I have given is true*