Membership Application

Membership Application
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Welcome to Congregation Beth Emeth. We are delighted you have chosen to become part of our community!

We hope that you find membership an enriching experience and encourage you to explore the diverse opportunities for Jewish expression that Beth Emeth offers. Please call upon our clergy, staff, and lay leaders whenever we can assist you in becoming part of our Beth Emeth community.

All information in this application will be treated confidentially. Please call our office at 302-764-2393 if you have any questions or need assistance in completing this application.

We like to welcome and introduce new members in The Orbit, our monthly publication circulated to the membership of the congregation. However, we respect the privacy of all of our members and will not sell or distribute your address, e-mail address, or phone numbers outside of our internal directory.

If you prefer not to be recognized in The Orbit, please indicate here:

Family Information

* How would you like your name(s) to appear on synagogue mailings?

* Mailing Address:

* City:

* State:

* Zip Code:

* Home Phone

* How would you like to receive your invoices?

Adult Applicant 1

* First Name

Middle Name

* Last Name

Preferred Name:

Hebrew First Name

Father's Hebrew Name

Mother's Hebrew Name

* Email Address

Cell Phone Number

* Date of Birth

Place of Employment

Occupation

Business Phone

Personal Status Other:

Read/write Hebrew?

NoYes

Read Torah/haftarah?

NoYes

Sing/play a musical instrument?

NoYes

What skills, interest or knowledge would you like to share with the congregation?

Religious background in which you were raised:

Congregation most recently affiliated with:

Please list any relatives who are Beth Emeth members:

Participation Opportunities

Days/Times available to volunteer:

Adult Applicant 2

First Name

Middle Name

* Last Name

Preferred Name:

Hebrew First Name

Father's Hebrew Name

Mother's Hebrew Name

Email Address

Cell Phone Number

* Date of Birth

Place of Employment

Occupation

Business Phone

Read/write Hebrew?

NoYes

Read Torah/haftarah?

NoYes

Sing/play a musical instrument?

NoYes

What skills, interest or knowledge would you like to share with the congregation?

Religious background in which you were raised:

Congregation most recently affiliated with:

Please list any relatives who are Beth Emeth members:

Participation Opportunities

Days/Times available to volunteer:

Yahrzeit Information

Loved Ones:

Please list any Yarzeits you wish to observe with the following information: Name of Deceased, Date of Death (mm/dd/yy) & Relationship to observer.

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

EnglishHebrew

Emergency Contract Information

Contact 1 Name:

Phone:

Relationship

Address:

City:

State:

Contact 2 Name:

Phone:

Relationship

Address:

City:

State:

Children's Information
If there are more than 3 children in the family, please bring their information to the business office during office hours, or mail it in and we will add them to your account.

Child 1

Full Name:

Preferred Name:

Hebrew Name:

Date of Birth:

Secular Grade:

Address (if not living with you)

Is this child being raised in the Jewish Faith?

YesNo

Will this child be attending Religious School at Beth Emeth?

YesNo

If previously attended Religious School, Congregation & City:

Will this child have a bar or bat Mitzvah?

YesNo

Child 2

Full Name:

Preferred Name:

Hebrew Name:

Date of Birth:

Secular Grade:

Address (if not living with you)

Is this child being raised in the Jewish Faith?

YesNo

Will this child be attending Religious School at Beth Emeth?

YesNo

If previously attended Religious School, Congregation & City:

Will this child have a bar or bat Mitzvah?

YesNo

Child 3

Full Name:

Preferred Name:

Hebrew Name:

Date of Birth:

Secular Grade:

Address (if not living with you)

Is this child being raised in the Jewish Faith?

YesNo

Will this child be attending Religious School at Beth Emeth?

YesNo

If previously attended Religious School, Congregation & City:

Will this child have a bar or bat Mitzvah?

YesNo

Annual Commitment

All new members are billed a one-time Capital Improvement Assessment of $1,000 ($200/year payable over 5 years)

No payment is due with your application. Based on the above information, the synagogue office will send you a membership contribution invoice in 2-3 weeks.

Please note that our fiscal year runs from September 1 - August 31. Thus, the synagogue requests that at least half of your contribution be made on or before July 31 (prior to the upcoming fiscal year), in order for High Holiday tickets to be mailed in a timely manner. Any balance of your contribution will be due on or before December 31 (of that fiscal year).

If you have any questions or concerns about your membership contribution, please contact Jon Yulish, Executive Director, at jyulish@bethemethde.org or 302-764-2393.

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