New Member Application - Form

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

Preferred Pronouns

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 Oneby Birth - mother is Jewish under Jewish lawby Choice - converted to Judaism as an adultby Parental Affirmation - converted to Judaism in childhood and raised as a Jewby 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 lawby 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 convertingOther religionNo religion

Tribe

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 HebrewI read TorahI chant HaftorahI lead services

Are you related to a current Temple Emunah member?

YesNo

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

Adult 2

First Name

Preferred Name

Maiden Name (if applicable)

Last Name

Mobile Phone

Birthdate

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 lawby Choice - converted to Judaism as an adultby Affirmation - raised as a Jew, but not Jewish under Jewish law until adult conversionby Parental Affirmation - converted to Judaism in childhood and raised as a JewNone 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 lawby 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 convertingOther religionNo religion

Tribe

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 HebrewI read TorahI chant HaftarahI lead services

Are you related to a current Temple Emunah member?

YesNo

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

Family Information

* Marital Status

Wedding Date

* Home Address

* City

* State

* Zip

How many children (under age 25) do you have?

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?

Gender

School Grade

School Name

Jewish Status (please check one)

Hebrew Name

B'nei Mitzvah

If your child had a B'nai Mitzvah, when was it?

Parasha

Emergency Contact Information

* First and Last Name

* Phone Number

* Relationship to you

Community Information

Previous Synagogue

City & State

If located in a foreign country, please enter that information

ReformConservativeOrthodoxOther

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 LexingtonWe 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 applicationplease do not include my child/ren in the directory listingwith 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

Membership Options

Choose the membership level in the dropdown menu
Enter the amount of your dues contribution you can commit to for your first year
Add Ancillary Dues for Sisterhood and Brotherhood
Add Youth Group Dues
Building Fund Pledge (required from all new members)

* Membership Levels

* Dues Contribution

Please contribute as much as you are able, with a minimum of $180.00 that includes the Security assessment. A minimum of $600 is required for rabbinical services or to qualify for the Preschool discount.

Youth Activity Fees

Temple Emunah automatically charges you a Youth Activity 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 USY Chaverim, USY Gesher, and Sr. USY 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.

Number of children in grades 3, 4 or 5

$85 Youth Activity Fee per child

Number of children in grades 6 - 12

$125 Youth Activity Fee per child

Ancilliary Memberships

Please let us know if you wish to participate

Sisterhood Dues ($36)Brotherhood Dues ($36)

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 (please select one)

Please Select OneOption 1: Defer one year, and then $300/year over the next 7 yearsOption 2: Over the next 3 years at $700/yearOption 3: Over the next 7 years at $300/year

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 select your payment options.