Temple Emanu-El Membership Application - Form

Shalom! Welcome to the Temple Emanu-El Family!

We are delighted that you have chosen to join our congregational family. We hope that you will become an active participant in the life of our community. We offer a host of worship, learning, cultural and social opportunities. We encourage you to explore and sample the rich Jewish life available within our community, and partner with us to create new opportunities, as well. Please complete the information requested below. This will enable the Temple’s staff and lay leaders to learn how best to welcome and engage you, as well as mark personal milestones with you. Once you have completed the form, we will meet with you, show you around the Temple, introduce you to the other staff members, and the wide range of services, classes, and programs we offer.

ACCOUNT TYPE

Select One:

IndividualCouple

Marriage Anniversary (if applicable)

MEMBER INFORMATION

PERSON 1

Title

First Name

Last Name

Gender

Date of Birth

Hebrew Name

* Tribe

Father's Hebrew Name

Mother's Hebrew Name

Mobile Phone

Work Phone

Occupation

Job Title

Type of Business

PERSON 2

Title

First Name

Last Name

Gender

Date of Birth

Hebrew Name

Tribe

Father's Hebrew Name

Mother's Hebrew Name

Mobile Phone

Work Phone

Occupation

Job Title

Type of Business

RESIDENCE

Primary Address

City

State

Zip Code

Primary Home Phone

Secondary Address

City

State

Zip Code

Secondary Home Phone

CHILDREN (AGE 23 AND UNDER)

Full Name

Date of Birth

Gender

Hebrew Name

Full Name

Date of Birth

Gender

Hebrew Name

Full Name

Date of Birth

Gender

Hebrew Name

Full Name

Date of Birth

Gender

Hebrew Name

ADULT CHILDREN & SPOUSES

Name & Spouse

Date of Birth

Living at Home?

Name & Spouse

Date of Birth

Living at Home?

Name & Spouse

Date of Birth

Living at Home?

Name & Spouse

Date of Birth

Living at Home?

FRIENDS AND RELATIVES WHO ARE MEMBERS OF TEMPLE EMANU-EL

Full Name

Relationship

Full Name

Relationship

Full Name

Relationship

Full Name

Relationship

YAHRZEITS

The Temple will inform you each year of the yahrzeit (anniversary of death according to the Hebrew calendar) of your family members.

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

Name of Deceased

Relationship

Full Hebrew Name

Date of Death

Before or After Sundown

BeforeAfter

Hebrew Date of Death (If Known)

To submit additional yahrzeit information, please contact the Temple office.

PRIOR SYNAGOGUE AFFILIATION

Synagogue

City

Denomination

Dates Affiliated

Synagogue

City

Denomination

Dates Affiliated

RELIGIOUS BACKGROUND

Select all activities in which you have participated:

PERSON 1

PERSON 2

Religious SchoolJewish Day SchoolBar/Bat Mitzvah

Jewish Youth ProgramsJewish Study/ClassesVisiting Israel

Religious SchoolJewish Day SchoolBar/Bat Mitzvah

Jewish Youth ProgramsJewish Study/ClassesVisiting Israel

Bar/Bat Mitzvah Portion

Please list any members of your household who have converted to Judaism:

Name

Conversion Date

Rabbi

Synagogue

Name

Conversion Date

Rabbi

Synagogue

Name

Conversion Date

Rabbi

Synagogue

GETTING INVOLVED

How would you like to get involved in Temple life?

What skills would you like to learn at the Temple?

INTERESTS

Select all that apply:

PERSON 1

Other

PERSON 2

Other

HOW DID YOU HEAR ABOUT TEMPLE EMANU-EL?

Select all that apply:

Internet SearchJewish Community Day School of RIJewish Alliance of RIJewish Rhode island

Social MediaTemple Emanu-El MemberTemple Emanu-El WebsiteWord of Mouth

Other

'GIFT OF THE HEART' CONTRIBUTION

Temple Emanu-El asks members to make a financial contribution that is comfortable and meaningful for them. We need to raise these funds annually to continue to provide our wide range of services and avenues for Jewish engagement. The per household cost to sustain Temple Emanu-El is $2,850. If the Sustaining Level does not fit your budget, please contribute what you consider to be a meaningful investment. If you are able to contribute more than the Sustaining Level, your donation will provide the support that helps to sustain the congregation for the benefit of our entire membership.

For questions about making your 'Gift of the Heart' pledge, please contact Sharon Sock at 401.331.1616 or at sharon@teprov.org.

We greatly appreciate your financial support!

For the year ending June 30, 2022, our household is pleased to make the following financial commitment to Temple Emanu-El:

I will pay this amount monthlyThis is my full contribution for the year

I would like you to help me set up monthly paymentsI will pay the balance in full