Membership Form

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Date of Application

* Family Name

* Primary Email

* Home Address

* City

* State

* Zip Code

Home Phone

How long at current residence?

* Rent or Own?

Previous Congregation Name

Previous Congregation Location

Last year of Affiliation

* Denomination

How did you hear about Beth El?

Why have you chosen to be become a Beth El member?

* Adult 1 - First Name

* Adult 1 - Last Name

* Adult 1 - Cell Phone

* Adult 1 - Email

Adult 1 - Birth Name

* Adult 1 - Date of Birth

* Adult 1 - Place of Birth

Adult 1 - Occupation

Adult 1 - Company

Adult 1 - Work Phone

Adult 1 - Work Email

Adult 1 - Work Address

Adult 1 - Work City

Adult 1 - Work State

Adult 1 - Work Zip Code

* Religion

Adult 1 - Tribe

Adult 1 - Other religion

Adult 1 - Conversion Date & Place, if applicable

Adult 1 - Hebrew First Name

Adult 1 - Father's Hebrew

Adult 1 - Mother's Hebrew

Adult 1 - Years Elementary Hebrew

Adult 1 - Years Hebrew High School

Adult 1 - Years Day School

Adult 1 - Other Hebrew Education

Adult 1 - Bar/Bat Mitzvah Date

Adult 1 - Confirmation Date

Adult 1 - Names of Jewish Camps Attended

Adult 1 - USY or other Youth Group

So we can best meet your needs - and the needs of our greater congregation - please share with us your experience/interests in these ritual areas.

Hebrew

I speak/readI would like to learn

Choir

I would like to sing monthly on ShabbatI would like to sing during High Holidays

Services

I would like to leadI would like to learn

Torah

I readI would like to learnI would like to teach others

Haftarah

I chantI would like to learnI would like to teach others

Megillah

I chantI would like to learnI would like to teach others

Adult 1 - Additional special talents, interests, memberships in clubs and communal associations, offices held, honors, books published etc.

Beth El belongs to all of us. The more we are involved, the stronger our synagogue and greater community become. Active engagement leads to:

connecting with community
making new friends
experiencing sacred traditions
growing in knowledge and spirit

The wide variety of participation and engagement opportunities below are based on the needs and desires of our diverse congregants. Please check the squares next to any/all the areas that spark your interest.

Adult EducationBen & Bernice Fiterman Bar/Bat Mitzvah Training ProgramReligious/Pre-Hebrew School – Shorashim (K-1 grade)Sacred Chanting/Meditation GroupShirley R. Abelson Aleph Preschool/Chaverim B’Shemesh Camp (young toddler – pre-k)Study Groups-WeekdayStudy Groups-WeeknightStudy Groups-Weekend

Choir

Monthly on ShabbatDuring High HolyDays

Haftorah Chanting

I chantI would like to learnI would like to teach/tutor

Megillot Chanting

I chantI would like to learnI would like to teach/tutor

Leading Services

I would like to leadI would like to learnI would like to teach

Purim Extravaganza

I actI singI danceI play an instrument

If applicable, what instrument?

Torah Reading

I actI readI would like to learnI would like to teach/tutor

BEMA - Music CommitteeBEMA - Music PatronBEMA - ArtsCommitteeBEMA - Arts Patron

Bethelder Activities (Seniors Group)Families with Young Children EventsLhiyot Bkesher (college-age outreach)Sunday Morning Hevrah Breakfast (following minyan)

Womens League EventsYoung Adults EventsYouth/USY Activities

Caring for Our Members (Yad V'lev)

Provide Meals to Congregants Just Home from the HospitalMake Calls/Write Notes to Those in Need of SupportShul Chauffeurs (rides for Shabbat services and other programs)Caring for Our Aging (Congregational Nurse Program) Visiting the sick  Visiting the homebound

Additional Volunteer Opportunities

Office Volunteers (answering phones assisting with mailings greeting guests)Usher for High Holy DaysBuilding/Grounds Committee

Photo of you in our printed synagogue bulletin (Shofar) -- so everyone can place your name

Aliyah or other special honor -- in recognition of your membership

New member welcome bag -- a few goodies to make your entrance into our community extra sweet and special

Meeting with Rabbi Davis -- just because, or to share any questions, ideas or observations

Welcome host or mentor -- a pairing with an experienced member, to have a meal together or meet at a Beth El event

* Is there a second adult applying for membership?

* Adult 2 - First Name

* Adult 2 - Last Name

* Adult 2 - Cell Phone

* Adult 2 - Email

Adult 2 - Birth Name

* Adult 2 - Date of Birth

* Adult 2 - Place of Birth

Adult 2 - Occupation

Adult 2 - Company

Adult 2 - Work Phone

Adult 2 - Work Email

Adult 2 - Work Address

Adult 2 - Work City

Adult 2 - Work State

Adult 2 - Work Zip Code

* Religion

Adult 2- Tribe

Adult 2 - Other religion

Adult 2 - Conversion Date & Place, if applicable

Adult 2 - Hebrew First Name

Adult 2 - Father's Hebrew

Adult 2 - Mother's Hebrew

Adult 2 - Years Elementary Hebrew

Adult 2 - Years Hebrew High School

Adult 2 - Years Day School

Adult 2 - Other Hebrew Education

Adult 2 - Bar/Bat Mitzvah Date

Adult 2 - Confirmation Date

Adult 2 - Names of Jewish Camps Attended

Adult 2 - USY or other Youth Group

So we can best meet your needs - and the needs of our greater congregation - please share with us your experience/interests in these ritual areas.

Hebrew

I speak/readId like to learn

Choir

I would like to sing monthly on ShabbatI would like to sing during High Holidays

Services

I would like to leadI would like to learn

Torah

I readI would like to learnI would like to teach others

Haftarah

I chantI would like to learnI would like to teach others

Megillah

I chantI would like to learnI would like to teach others

Adult 2 - Additional special talents, interests, memberships in clubs and communal associations, offices held, honors, books published etc.

Beth El belongs to all of us. The more we are involved, the stronger our synagogue and greater community become. Active engagement leads to:

connecting with community
making new friends
experiencing sacred traditions
growing in knowledge and spirit

Choir

Monthly on ShabbatDuring High HolyDays

Haftorah Chanting

I chantI would like to learnI would like to teach/tutor

Megillot Chanting

I chantI would like to learnI would like to teach/tutor

Leading Services

I would like to leadI would like to learnI would like to teach

Purim Extravaganza

I actI singI danceI play an instrument

If applicable, what instrument?

Torah Reading

I actI readI would like to learnI would like to teach/tutor

BEMA - Music CommitteeBEMA - Music PatronBEMA - ArtsCommitteeBEMA - Arts Patron

Bethelder Activities (Seniors Group)Families with Young Children EventsLhiyot Bkesher (college-age outreach)Sunday Morning Hevrah Breakfast (following minyan)

Womens League EventsYoung Adults EventsYouth/USY Activities

Caring for Our Members (Yad V'lev)

Additional Volunteer Opportunities

Office Volunteers (answering phones assisting with mailings greeting guests)Usher for High Holy DaysBuilding/Grounds Committee

Photo of you in our printed synagogue bulletin (Shofar) -- so everyone can place your name

Aliyah or other special honor -- in recognition of your membership

New member welcome bag -- a few goodies to make your entrance into our community extra sweet and special

Meeting with Rabbi Davis -- just because, or to share any questions, ideas or observations

* Welcome host or mentor -- a pairing with an experienced member, to have a meal together or meet at a Beth El event

* How many children will be part of your membership?

* Child 1 - First Name

* Child 1 - Last Name

* Child 1 - Hebrew First Name

* Child 1 - Hebrew First Name, bar/bat, Father & Mother

Child 1 - Gender

* Child 1 - Birth Date

Child 1 - If applicable, Conversion Date & Place

Child 1 - Talmud Torah Grade

Child 1 - Bat/bat Mitzvah Date

Child 1 - Confirmation Date

Child 1 - School Grade

Child 1 - School Name

Child 1 - Current address if different from above, including college/university

* Child 2 - First Name

* Child 2 - Last Name

* Child 2 - Hebrew First Name

* Child 2 - Hebrew First Name, bar/bat, Father & Mother

Child 2 - Gender

* Child 2 - Birth Date

Child 2 - If applicable, Conversion Date & Place

Child 2 - Talmud Torah Grade

Child 2 - Bat/bat Mitzvah Date

Child 2 - Confirmation Date

Child 2 - School Grade

Child 2 - School Name

Child 2 - Current address if different from above, including college/university

* Child 3 - First Name

* Child 3 - Last Name

* Child 3 - Hebrew First Name

* Child 3 - Hebrew First Name, bar/bat, Father & Mother

Child 3 - Gender

* Child 3 - Birth Date

Child 3 - If applicable, Conversion Date & Place

Child 3 - Talmud Torah Grade

Child 3 - Bat/bat Mitzvah Date

Child 3 - Confirmation Date

Child 3 - School Grade

Child 3 - School Name

Child 3 - Current address if different from above, including college/university

* Child 4 - First Name

* Child 4 - Last Name

* Child 4 - Hebrew First Name

* Child 4 - Hebrew First Name, bar/bat, Father & Mother

Child 4 - Gender

* Child 4 - Birth Date

Child 4 - If applicable, Conversion Date & Place

Child 4 - Talmud Torah Grade

Child 4 - Bat/bat Mitzvah Date

Child 4 - Confirmation Date

Child 4 - School Grade

Child 4 - School Name

Child 4 - Current address if different from above, including college/university

* Child 5 - First Name

* Child 5 - Last Name

* Child 5 - Hebrew First Name

* Child 5 - Hebrew First Name, bar/bat, Father & Mother

Child 5 - Gender

* Child 5 - Birth Date

Child 5 - If applicable, Conversion Date & Place

Child 5 - Talmud Torah Grade

Child 5 - Bat/bat Mitzvah Date

Child 5 - Confirmation Date

Child 5 - School Grade

Child 5 - School Name

Child 5 - Current address if different from above, including college/university

* How many Adult Children not living in the household do you have?

Adult Child 1 - Full Name

Adult Child 1 - Date of Birth

Adult Child 1 - Date of Marriage

Adult Child 1 - Spouse/Partner

Adult Child 1 - Address

Adult Child 1 - City

Adult Child 1 - State

Adult Child 1 - Zip Code

Adult Child 2 - Full Name

Adult Child 2 - Date of Birth

Adult Child 2 - Date of Marriage

Adult Child 2 - Spouse/Partner

Adult Child 2 - Address

Adult Child 2 - City

Adult Child 2 - State

Adult Child 2 - Zip Code

Adult Child 3 - Full Name

Adult Child 3 - Date of Birth

Adult Child 3 - Date of Marriage

Adult Child 3 - Spouse/Partner

Adult Child 3 - Address

Adult Child 3 - City

Adult Child 3 - State

Adult Child 3 - Zip Code

Adult Child 4 - Full Name

Adult Child 4 - Date of Birth

Adult Child 4 - Date of Marriage

Adult Child 4 - Spouse/Partner

Adult Child 4 - Address

Adult Child 4 - City

Adult Child 4 - State

Adult Child 4 - Zip Code

Adult Child 5 - Full Name

Adult Child 5 - Date of Birth

Adult Child 5 - Date of Marriage

Adult Child 5 - Spouse/Partner

Adult Child 5 - Address

Adult Child 5 - City

Adult Child 5 - State

Adult Child 5 - Zip Code

* Do you have other family members who are members at Beth El?

Please list all other family members:

* How many Yahrzeits would you like to observe?

Observer

Deceased Full Name

Deceased Hebrew Name

Relationship

Date of Death

Before/After Sunset?

Hebrew Date of Death

if known

Memorial Plaque at Beth El

Do you want to receive Yahrzeit notices from Beth El?

Observer

Deceased Full Name

Deceased Hebrew Name

Relationship

Date of Death

Before/After Sunset?

Hebrew Date of Death

if known

Memorial Plaque at Beth El

Do you want to receive Yahrzeit notices from Beth El?

Observer

Deceased Full Name

Deceased Hebrew Name

Relationship

Date of Death

Before/After Sunset?

Hebrew Date of Death

if known

Memorial Plaque at Beth El

Do you want to receive Yahrzeit notices from Beth El?

Observer

Deceased Full Name

Deceased Hebrew Name

Relationship

Date of Death

Before/After Sunset?

Hebrew Date of Death

if known

Memorial Plaque at Beth El

Do you want to receive Yahrzeit notices from Beth El?

Observer

Deceased Full Name

Deceased Hebrew Name

Relationship

Date of Death

Before/After Sunset?

Hebrew Date of Death

if known

Memorial Plaque at Beth El

Do you want to receive Yahrzeit notices from Beth El?

* Does your family have a cemetery lot?

Location?

* Would you like more info about the Beth El Memorial Park?

Thu, November 21 2024 20 Cheshvan 5785

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