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Home
Calendar
Temple Emanu-El Membership
Please verify reCaptcha before submitting the form.
Applicant(s)
Adult 1
Personal Info
Title
--
Mr.
Mrs.
Ms.
Miss
Mx.
Dr.
*
Last Name
*
First Name
Gender
--
Male
Female
Non-Binary
Other
Date of Birth
Hebrew Name
*
I am currently a member in good standing of the JCC of Middlesex County
Please Select One
Yes
No
Contact Info
*
E-mail Address
*
Home Phone
Cell Phone
Employment Info
Employer
Occupation
Employer Address
Work Phone
Religious Info
Prior Synagogue & Dates
Tradition in which you were raised:
Reform
Conservative
Orthodox
Secular
Non-Jewish
Select all that apply
Date of Conversion
(if applicable)
If you indicated 'Non-Jewish' above, what religion do you observe?
Get Involved in Your Temple
We highly encourage one adult per family to become involved in some aspect of Temple Leadership or Committee work.
Please select the committee(s) you would be willing to serve on:
Caring Community
Development (Fundraising) / Ways & Means
Finance / Investment
Housing / Technology
Legal
Lifelong Learning
Membership
Religious School
Ritual
Social Action
Youths
Please select the auxiliaries or programs you have interest in:
Sisterhood
Men's Club
Adult Choir
Adult Education
Family Education
Concerts
Mitzvah Day
One-day Trips
Travel Abroad
Are you interested in serving on the Temple Board?
No
Yes
Yes, but in the future.
Adult 2
Second Adult Applicant?
NO. Just one.
YES.
Personal Info
Title
--
Mr.
Mrs.
Ms.
Miss
Mx.
Dr.
Last Name
First Name
Gender
--
Male
Female
Non-Binary
Other
Date of Birth
Hebrew Name
Contact Info
*
E-mail Address
Home Phone
Cell Phone
Employment Info
Employer
Occupation
Employer Address
Work Phone
Religious Info
Prior Synagogue & Dates
Tradition in which you were raised:
Reform
Conservative
Orthodox
Secular
Non-Jewish
Select all that apply
Date of Conversion
(if applicable)
If you indicated 'Non-Jewish' above, what religion do you observe?
Get Involved in Your Temple
We highly encourage one adult per family to become involved in some aspect of Temple Leadership or Committee work.
Please select the committee(s) you would be willing to serve on:
Caring Community
Development (Fundraising) / Ways & Means
Finance / Investment
Housing / Technology
Legal
Lifelong Learning
Membership
Religious School
Ritual
Social Action
Youths
Please select the auxiliaries or programs you have interest in:
Sisterhood
Men's Club
Adult Choir
Adult Education
Family Education
Concerts
Mitzvah Day
One-day Trips
Travel Abroad
Are you interested in serving on the Temple Board?
No
Yes
Yes, but in the future.
Family Info
Street Address
Street Address 2
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Date of Marriage / Civil Union
Children
Children?
No. Adults only.
Yes.
Child 1
Last Name
First Name
Hebrew Name
Birthday
School Name
Grade / College Year
Yes, my child is interested in joining Youth Group
Yes, my child is interested in joining Youth Group
Child 2
Last Name
First Name
Hebrew Name
Birthday
School Name
Grade / College Year
Yes, my child is interested in joining Youth Group
Yes, my child is interested in joining Youth Group
Child 3
Last Name
First Name
Hebrew Name
Birthday
School Name
Grade / College Year
Yes, my child is interested in joining Youth Group
Yes, my child is interested in joining Youth Group
Child 4
Last Name
First Name
Hebrew Name
Birthday
School Name
Grade / College Year
Yes, my child is interested in joining Youth Group
Yes, my child is interested in joining Youth Group
Community Connection
Does anyone in your family know how to chant Torah?
No
I'd like to learn!
Yes
If yes, who:
Would you have any interest in participating in a congregational Israel trip?
Adults
Teens
Family
Do have a skill or talent that you would like to share with the community?
Yahrzeits
Please list Yahrzeit information for yearly notification.
Would you like to receive yearly notification of a departed loved one's Yahrzeit?
No, thanks.
Yes, please.
Do you want to observe the Hebrew or English Yahrzeit date?
Hebrew
English
Yahrzeit 1
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
Yahrzeit 2
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
Yahrzeit 3
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
Yahrzeit 4
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
Yahrzeit 5
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
Yahrzeit 6
Name of Departed
Observer's Name
Relationship to Observer
English Date & Time of Death:
Date
Time
TERMS OF MEMBERSHIP
The membership year begins on July 1st and ends on June 30th
Membership dues are billed monthly (1/12th each month of dues and Building improvement fund)
Members who join after Simchat Torah shall pay a pro-rated dues from the date joined to June 30th (a minimum of 6 months’ payment is due)
Any member who leaves the congregation after the start of the fiscal year (July 1st) shall be responsible for the payment of any and all dues and other charges accrued through to the date of written notification of resignation, with the exception of Religious School fees. A member who has a child/children registered in Religious School and who resigns or removes the child/children from Religious School after the start of Religious School year shall be responsible for the entire Religious School fee under all circumstances.
If you choose to resign, the process begins by speaking with one of our Clergy Members in person, on the phone, or on Zoom.
We NEVER turn someone away due to their financial situation. Though our brochures and pamphlets may reflect a certain number, we offer scholarships to any and all that wish to be involved. Do not let your financial situation be the reason you are not a member. We work privately and with confidentiality to ensure all who wish to be here are here. No one is denied membership at Temple Emanu-EI for financial reasons. Scholarship information is available by clicking
HERE.
Adult 1 Signature
Adult 2 Signature
*
I acknowledge and accept the Terms of Membership.
I acknowledge and accept the Terms of Membership.
I acknowledge and accept the Terms of Membership.
I acknowledge and accept the Terms of Membership.
*
Adult 1 Name
Entering your name above represents your signature.
Adult 2 Name
Entering your name above represents your signature.
Referral
How did you hear or learn about Temple Emanu-El? If you were referred by a Temple Emanu-El member, please let us know who:
Fri, April 19 2024 11 Nisan 5784
