Temple Israel Membership Application - Form

Shalom and welcome!

We are delighted by your interest in our synagogue. Temple Israel is a warm and friendly traditional egalitarian synagogue. We celebrate together in good times and support each other during life's difficult moments. Founded over 70 years ago, you will find many members from among original families. We are teachers, at-home parents, doctors, business owners, actively employed and actively enjoying retirement.

At Temple Israel we strive to foster growth of each of our members, to help each person find meaning and fulfillment in the practice of Conservative Judaism. We are vibrant congregation of learners, a community actively involved in caring for each other, and a synagogue dedicated to daily, Shabbat and holiday prayer, and most importantly, passing the traditions of Judaism on to the next generation.

We look forward to the merging of your family and ours.

Family Name

Date of Application

Name of Congregation

Mailing Address

City

State

Zip Code

Adult 1 -Title

Adult 1 - First Name

Adult 1 - Middle Name

Adult 1 - Last Name

Adult 1 - Preferred Name

* Primary Address Line 1

Primary Address Line 2

* City

* State

* Zip Code

Adult 1 - Email

Adult 1 - Mobile Phone

Adult 1 - Date of Birth

Adult 1 - Tribe

Adult 1 - Hebrew Name

Please use English transliteration

Adult 1 - Father's Hebrew Name

Please use English transliteration

Adult 1 - Mother's Hebrew Name

Please use English transliteration

Adult 1 - Occupation

Or Retired

Adult 1 - Job Title

Adult 1 - Employer

Adult 1 - Employer Address

Adult 1 - Employer City

Adult 1 - Employer State

Adult 1 - Employer Zip Code

Adult 1 - Please list your areas of interest

Adult Text LearningBrotherhood**Bulletin/PRCultural ArtsDevelopmentPlanning Family-Centered Events
** All new members receive one year complimentary membership in the Brotherhood and Sisterhood.

Is there a second adult applying for Membership?

Adult 2 - Title

Adult 2 - First Name

Adult 2 - Middle Name

Adult 2 - Last Name

Adult 2 - Preferred Name

Adult 2 - Email

Adult 2 - Mobile

Adult 2 - Date of Birth

Adult 2 - Tribe

Adult 2 - Hebrew Name

Please use English transliteration

Adult 2 - Father's Hebrew Name

Please use English transliteration

Adult 2 - Mother's Hebrew Name

Please use English transliteration

Adult 2 - Occupation

Or Retired

Adult 2 -Job Title

Adult 2 - Employer

Adult 2 - Employer Address

Adult 2 - Employer City

Adult 2 - Employer State

Adult 2 - Employer Zip Code

Adult 2 - Please list your areas of interest

Adult Text LearningBrotherhood**Bulletin/PRCultural ArtsDevelopmentPlanning Family-Centered Events
** All new members receive one year complimentary membership in the Brotherhood and Sisterhood.

How many children live in the family home?

Child 1 - Last Name

Child 1 - First Name

Child 1 - Gender Pronoun

Child 1 - Date of Birth

Child 1 - Any Special Needs

Child 1 - If bar/bat mitzvah, what year celebrated?

Child 1 - Hebrew Name

Transliterated in English

Child 1 - Grade in School

Child 1- Is child enrolled in Prozdor?

Child 1 - Name of Secular School

Child 1 - College Address (If applicable)

Child 2 - Last Name

Child 2 - First Name

Child 2 - Gender Pronoun

Child 2 - Date of Birth

Child 2 - Any Special Needs

Child 2 - If bar/bat mitzvah, what year celebrated?

Child 2 - Hebrew Name

Transliterated in English

Child 2 - Grade in School

Child 2 - Is child enrolled in Prozdor?

Child 2 - Name of Secular School

Child 2 - College Address (If applicable)

Child 3 - Last Name

Child 3 - First Name

Child 3 - Gender Pronoun

Child 3 - Date of Birth

Child 3 - Any Special Needs

Child 3 - College Address (If applicable)

Child 3 - Hebrew Name

Transliterated in English

Child 3 - Grade in School

Child 3 - Is child enrolled in Prozdor?

Child 3 - Name of Secular School

Child 3 - College Address (If applicable)

Child 4 - Last Name

Child 4 - First Name

Child 4 - Gender Pronoun

Child 4 - Date of Birth

Child 4 - Any Special Needs

Child 4 - If bar/bat mitzvah, what year celebrated?

Child 4 - Hebrew Name

Transliterated in English

Child 4 - Grade in school

Child 4 - Is child enrolled in Prozdor?

Child 4 - Name of Secular School

Child 4 - College Address (If applicable)

Jewish custom calls for observing the anniversary of death of loved ones according to the Jewish calendar. Please complete the information below, if pertinent, so that we may in form you of the Yahrzeit Date.

How many name would you like to add to our Yahrzeit list?

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Secular Date of Death

Before/After Sundown

* I/We hereby apply for membership in the congregation of Temple Israel. I/We will abide by all its rules and regulations and shall support its religious , educational, and cultural activities.

I/We hereby apply for membership in the congregation of Temple Israel. I/We will abide by all its rules and regulations and shall support its religious , educational, and cultural activities.

* Applicant Initials

* Date

I/We commit to pay the sum below by May 31st of this year. Religious school tuitions/fees, adult class fees, additional High Holyday seats, simcha fees, etc., are to be charged and paid separately from the Annual Commitment indicated below. Thereafter, we agree to pay an Annual Commitment and any special assessments as may be fixed by the Board of trustees in accordance with the By-Laws of Temple Israel.

please enter $ amount above

* Applicant Initials

* Date

* I/We commit to pay the sum of $2,400 to the Temple Israel Building Fund at a rate of $400 per year with the yearly payment due and payable not later than May 31st of each year. The Building Fund is intended to help with the ongoing maintenance of the physical plant which our earlier members helped to build. Thus all members share in providing the home for our congregation.

I/We commit to pay the sum of $2,400 to the Temple Israel Building Fund at a rate of $400 per year with the yearly payment due and payable not later than May 31st of each year. The Building Fund is intended to help with the ongoing maintenance of the physical plant which our earlier members helped to build. Thus all members share in providing the home for our congregation.

* Applicant Initials

* Date

If you cancel your membership, in writing to the Temple office, you and/or your family will be responsible for the yearly amount of your Building Fund assessment from the date of joining until the time your cancellation becomes effective, as well as any unpaid Annual Commitments, special assessments, fees and costs associated with the Religious School.