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New Member Application 2021 /2022
Welcome to Temple Emunah!
Temple Emunah is a dynamic and engaged congregational family that builds Jewish identity through learning together, praying together, caring for each other, and working to create an enduring Jewish community in the United States and Israel, in the spirit of egalitarian Conservative Judaism. We welcome all Jews and their families (including interfaith families) who wish to participate in our community, without regard to race, ethnicity, disability, marital status, sexual orientation or gender identity.
Temple Emunah offers a unique blend of the intimacy and closeness of a small synagogue with the strong programming of a large one. Our members are committed to vibrant Jewish living and learning, creating a positive blend of modernity and
Yiddishkeit
. Temple Emunah is committed to
tikkun olam
, healing and repairing the world, for Jews and all people locally and around the globe.
Temple Emunah members are eligible to participate in synagogue activities and attend all religious services throughout the year. Members are also entitled to pastoral care and officiation at lifecycle events by our rabbis. Adults and their children under the age of 25 are considered member households and are entitiled to general admission tickets to our High Holy Day services. In accordance with our by-laws, all Jewish adult members are able to vote at congregational meetings. Children of members are entitled to attend the schools of Temple Emunah upon such terms and conditions as determined by the Board of Directors.
It is our hope that Temple Emunah will be a warm home for you to deepen your Jewish life and to connect to others in community.
To begin the membership application process, please tell us about yourself and your family.
Adult 1
*
First Name
Preferred Name if different
*
Last Name
*
Email
Mobile Phone
*
Birthdate
Please check if after sundown
Please check if after sundown
*
Gender
Jewish Law (halakhah) defines people as Jews under the circumstances listed below. If you are Jewish under Jewish law, check the appropriate box below:
Please Select One
by Birth - mother is Jewish under Jewish law
by Choice - converted to Judaism as an adult
by Parental Affirmation - converted to Judaism in childhood and raised as a Jew
by Affirmation - raised as a Jew, but not Jewish under Jewish law until adult conversion
If Converted/Affirmed
Please provide the date, City/State and Presiding Rabbi
If you identify as Jewish in either of the following ways, check the appropriate box
by Identity - Raised Jewish, but not Jewish under Jewish law
by Peoplehood - not raised Jewishly and not Jewish under Jewish law, but self-identify as Jewish
Temple Emunah welcomes non-Jewish spouses/partners. Check the appropriate box below:
In process of converting
Other religion
No religion
Tribe
Cohen
Levi
Yisrael
None Set
Hebrew Name (if applicable)
Father’s Hebrew Name (if applicable)
Mother’s Hebrew Name (if applicable)
Bar/Bat Mitzvah Date
Please check all that apply
I read Hebrew
I read Torah
I chant Haftorah
I lead services
Are you related to a current Temple Emunah member?
Yes
No
If yes, please tell us their name(s) and your relationship
Yahrzeits - Adult 1
Please click on the plus sign to tell us about the family members you have lost, and wish to be remembered with a Yahrzeit notifiation.
English Name
Relationship
Date of Death
after sunset
after sunset
Adult 2
First Name
Preferred Name
Maiden Name (if applicable)
Last Name
Email
Mobile Phone
Birthdate
Please check if after sundown
Please check if after sundown
Gender
If you are Jewish under Jewish law, please check the appropriate box below
by Birth - mother is Jewish under Jewish law
by Choice - converted to Judaism as an adult
by Affirmation - raised as a Jew, but not Jewish under Jewish law until adult conversion
by Parental Affirmation - converted to Judaism in childhood and raised as a Jew
None of the above
If Converted/Affirmed, please tell us the date, place and presiding Rabbi
If you identify as Jewish in either of the following ways, check the appropriate box
by Identity - Raised Jewish, but not Jewish under Jewish law
by Peoplehood - not raised Jewishly and not Jewish under Jewish law, but self-identify as Jewish
Temple Emunah welcomes non-Jewish spouses/partners. Check the appropriate box below:
In process of converting
Other religion
No religion
Tribe
Cohen
Levi
Yisrael
None Set
Hebrew Name (if applicable)
Father’s Hebrew Name (if applicable)
Mother’s Hebrew Name (if applicable)
Bar/Bat Mitzvah Date
Please check all that apply
I read Hebrew
I read Torah
I chant Haftarah
I lead services
Are you related to a current Temple Emunah member?
Yes
No
If yes, please tell us their name(s) and your relationship
Yahrzeits - Adult 2
Please click on the plus sign to tell us about the family members you have lost, and wish to be remembered with a Yahrzeit notifiation.
English Name
Relationship
Date of Death
after sunset
after sunset
Family Information
*
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Wedding Date
*
Home Address
*
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
How many children (under age 25) do you have?
None
1
2
3
4
5
6+
Please click on the plus sign below, and complete for each child under the age of 25.
Child 1
First Name
Last Name
Birthdate
after sunset?
after sunset?
Gender
School Grade
School Name
Jewish Status (please check one)
by Birth - mother is Jewish under Jewish law
by Choice - converted to Judaism as an adult
by Affirmation - raised as a Jew, but not Jewish under Jewish law until adult conversion
by Parental Affirmation - converted to Judaism in childhood and raised as a Jew
by Identity
Hebrew Name
B'nei Mitzvah
They had a B'nei Mitzvah and would be interested in an aliyah on the anniversary
They had a B'nei Mitzvah and would like to read Torah from time to time
They are in the 5th Grade and needs a b'nai mitzvah date
If your child had a B'nai Mitzvah, when was it?
Parasha
Community Information
Previous Synagogue
City & State
If located in a foreign country, please enter that information
Reform
Conservative
Orthodox
Other
If Other
please explain
Photographs
Signing this membership application will be considered consent for Temple Emunah to use photographs of you and/or your family members in any of its communications.
You may opt out by checking this box.
Member Introduction
When new members join the Temple Emunah community, we send an announcement out to the congregation by way of email and in our newsletter. It provides yet another great way for you to begin to make more connections within our community. Please indicate your preference.
We would like to welcome our new members, Jon and Jenn Silverman from Lexington!
We would like to welcome our new members, the Silverman Family from Lexington
We would like to welcome our new members, the Silverman Family from Lexington - parents Jon and Jenn and their three children.
We would like to welcome our new members, the Silverman Family from Lexington - parents Jon and Jenn and their three children, Jonah (10), Jacob (8), and Sarah (6).
Membership Directory
We provide an online membership directory. The directory is for Temple Emunah purposes only, and includes name, address, home, mobile and business phone numbers, email addresses, and child names and birthdates if under 18. We do not share information about you with non-members.
Please include me in the directory
with the contact information I have included in my application
please do not include my child/ren in the directory listing
with the following changes to the information I have included in my application
I/We herewith make application for membership in Temple Emunah and, if accepted, do agree to conform to its by -laws and all rules and regulations of the synagogue. I/We agree to pay annual membership dues, as established by the Temple Emunah Board of Directors, and all other fees, tuition, pledges as may be required, in a timely fashion. I/We understand that a pledge to the Building Fund is required.
*
Signature (Adult 1)
Signature (Adult 2)
*
Date
Payment Options
Choose the membership type in the dropdown and pay in full;
Add Ancillary Dues for Sisterhood and Brotherhood;
Add Youth Group Dues
*
Membership Type
Please Select One
Please select one
Family Membership $3,415
Individual or Single Parent Membership $1,900
Senior Membership (both over 65) $2,750
Senior Single Membership (over 65) $1,425
Young Single/Young Married (Under 36)
Zoom Membership $200
*
Dues Contribution
Please contribute as much as you are able, with a minimum of $180.00 that includes the Security assessment and the Ritual Objects Maintenance Fee. A minimum of $600 is required for rabbinical services. Zoom membership is $200.
Ancilliary Memberships
Please let us know if you wish to participate
Sisterhood Dues ($36)
Brotherhood Dues ($36)
Youth Groups
Temple Emunah automatically charges you a fee for children in grades 3 through 12 to be part of our Youth Community. Membership to our Youth Community enables your child to participate in Kadima, Jr. USY, and Sr. USY events. You may “opt out” of this charge. If you “opt out,” your child may continue to participate in chapter events but with an additional charge per-event. However, they may not participate in any regional HaNer events. In addition to this fee including membership to USY, it also supports our overall Youth Program which includes: Youth Day, Shul-ins, Retreats, and Shabbat Programming. Membership in our Youth Community enables children to participate in these programs at a reduced rate.
0
1
2
3
4
5
6
7
8
9
10
USY Chaverim ($55)
0
1
2
3
4
5
6
7
8
9
10
USY Gesher ($70)
0
1
2
3
4
5
6
7
8
9
10
USY ($80)
USY Chaverim is for children aged 9 to 11 or in grades 3, 4 or 5
USY Gesher is for children aged 12 to 14 or in grades 6 to 8
USY is for children aged 15 to 18 or in grades 7 - 12
My/our children wish to opt out of Youth Groups
My/our children wish to opt out of Youth Groups
Building Fund
All new members are expected to contribute $2,100 to the Building Fund over a maximum of 7 years. You may be eligible to obtain a credit for a portion of the building fund donations made to another synagogue within the last 5 years.
*
Payment Optons
Option 1: Over the next 3 years at $700/year
Option 2: Over the next 7 years at $300/year
Option 3: Defer one year, and then $300/year over the next 7 years
Total Annual Commitment:
Thank you your filling out the Membership Application.
By clicking on the Submit button, you will be taken to our Online Payment screen to make your payment.
Sun, December 5 2021 1 Tevet 5782
