Membership Application 2020-21 - Form

Temple Sholom Membership Application

Welcome to Temple Sholom! We’re delighted that you’re interested in joining our congregation. As part of the membership process, we’d like you to fill out this profile. We’ll add the information to our database of membership demographics, so that we can more effectively plan for the Temple’s future. Also, we’ll give your name to the chair people of any committees in which you’ve indicated an interest.

Membership Name

How would you like us to address correspondence to you?

Street Address

Town

State

Zip Code

Home Phone

Primary Home Email Address

Is there a non-Jewish Member of your household? If so, who?

What is his/her Religious Affiliation?

How did you become interested in Temple Sholom?

Have you previously belonged to a Synagogue? If so, please give us its name & location

Member 1
Member 1 should be the primary person on the account

First Name

Last Name

Gender

Date of Birth

Occupation

Business Phone

Interests

Cell Phone

Anniversary (if applicable)

Previous or Current Experience as a Volunteer (where and in what capacity?)

Can you Read Hebrew?

YesNo

Can you Speak Hebrew?

YesNo

Can you Chant Torah?

YesNo

What is your Hebrew Name?

What is your Mother's Hebrew Name?

What is your Father's Hebrew Name?

Member 2
Member 2 should be the secondary person on the account

First Name

Last Name

Gender

Date of Birth

Occupation

Business Phone

Cell Phone

Please detail previous or current experience as a volunteer (where and in what capacity?)

Can you Read Hebrew?

YesNo

Can you Speak Hebrew?

YesNo

Can you Chant Torah?

YesNo

What is your Hebrew Name?

What is your Mother's Hebrew Name?

What is your Father's Hebrew Name?

Your Children
Children that are 25 years and younger are considered members of your household

Child 1

First Name

Last Name

Birth Date

Hebrew Name

Child 2

First Name

Last Name

Birth Date

Hebrew Name

Child 3

First Name

Last Name

Birth Date

Hebrew Name

Child 4

First Name

Last Name

Birth Date

Hebrew Name

Please share some information on your child(ren)'s previous Religious School Experience

Child 1

Have they attended Religious School before?

YesNo

Have they had their Bar/Bat Mitzvah?

YesNo

Have they had their Confirmation?

YesNo

What secular school do they attend?

Child 2

Have they attended Religious School before?

YesNo

Have they had their Bar/Bat Mitzvah?

YesNo

Have they had their Confirmation?

YesNo

What secular school do they attend?

Child 3

Have they attended Religious School before?

YesNo

Have they had their Bar/Bat Mitzvah?

YesNo

Have they had their Confirmation?

YesNo

What secular school do they attend?

Child 4

Have they attended Religious School before?

YesNo

Have they had their Bar/Bat Mitzvah?

YesNo

Have they had their Confirmation?

YesNo

What secular school do they attend?

If you are interested in signing your child(ren) up for Religious School, go to this website once you've completed this form. https://www.sholomnj.org/form/religious-school-new-student-enrollment.html

Congregational Involvement
Getting involved in Temple activities is the best way to settle into and make friends in the congregation. Please place a check beside any activity that seems interesting, and that committee’s chairperson will contact you. (Please respond for both Member 1 and Member 2.)

Member 1

Member 2

Is there any interest or skill that isn't addressed? If so, please tell us about it

Yarhzeit Information

Please give us the names of those in your families or close to you who have died and for whom you would like to have the Yahrzeit recited and memorialized at the Shabbat services closest to the anniversary of their death. Indicate whether you keep the English or Hebrew date; if the Hebrew date, please let us know if the date is before or after sundown.

Name

Relationship

Date of Death

Before or After Sundown?

BeforeAfter

Name

Relationship

Date of Death

Before or After Sundown?

BeforeAfter

Name

Relationship

Date of Death

Before or After Sundown?

BeforeAfter

Would you like to observe the English or Hebrew calendar date?

Have you made arrangements at a cemetery?

YesNo

If so, please supply the name and location

Are you interested in cemetery space at Mount Lebanon in Iselin, NJ?

YesNo

Have you made other arrangements in the event of your death? Please describe them.

Temple Sholom Membership Agreement

I/We elect to join Temple Sholom and become part of the Temple Sholom community. We agree to pay our yearly pledge obligation, recognizing that the sustaining membership amount to cover the Temple’s operating expenses may be changed periodically. * Our membership will continue until such time as it is terminated for cause by the Board of Trustees or until Temple Sholom receives in writing notice of my/our resignation. The acceptance of my/our resignation by Temple Sholom will be subject to the satisfaction of all outstanding financial obligations.

The estimated sustaining membership commitment for the 2020/21 fiscal year is $3400 per membership.

We sincerely hope that those who can give more than the sustaining amount will do so generously.

Those that cannot pledge the sustaining amount are asked to pledge what they can.

My 2020/21 pledge amount is?

I/We intend to use Scrip rebates to fulfill a portion of this pledge.

YesNo

If yes, how much?

This is the amount of the pledge you wish to defer pending reconciliation of your Scrip rebates. If your earned Scrip rebates are less than the amount you indicate here, the remainder of the commitment will appear on your final bill of the fiscal year. If you exceed your committed rebate amount, excess rebates you have earned will be considered a tax deductible donation to the temple.

I/We also agree to pay the sum of $2,000 toward the Temple Building Fund that is payable over 6 years; $1800 if paid entirely in the first year of membership. If you have documentation you paid a Building Fund at another congregation, please submit and it will be applied towards your Building Fund commitment. I will pay the Building Fund over 6 years, or I will pay over 1st year of membership

I/We wish to be billed

Member 1 Signature

Please write your name and the date (MM/DD/YYYY) in the box above. Your name typed above will be treated as a signature. By signing this, you agree that the above information is accurate.

Member 2 Signature

Please write your name and the date (MM/DD/YYYY) in the box above. Your name typed above will be treated as a signature. By signing this, you agree that the above information is accurate.