Temple Emanu-El Membership Application - Form

Shalom! Welcome to the Temple Emanu-El Family!

We’re so glad you’ve chosen to be part of our community. Whether you’re interested in worship, learning, social events, cultural programs, or volunteering, there are so many ways to get involved—and we’re excited to help you find what feels meaningful to you.

Please take a few moments to complete the form below. It helps us get to know you better, celebrate your milestones, and connect you with the people and programs that match your interests.

If you haven’t yet had a tour or met our staff, we’d be happy to arrange a time to show you around and personally introduce you to all that Temple life has to offer.

We’re thrilled to welcome you and look forward to growing together!

ACCOUNT TYPE

Select One:

IndividualCouple

Marriage Anniversary (if applicable)

MEMBER INFORMATION

PERSON 1

Title

First Name

Last Name

Gender

Date of Birth

* Tribe

Hebrew Name

Mobile Phone

Work Phone

Occupation

Job Title

Type of Business

PERSON 2

Title

First Name

Last Name

Gender

Date of Birth

Tribe

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 (If available)

Full Name

Date of Birth

Gender

Hebrew Name (If available)

Full Name

Date of Birth

Gender

Hebrew Name (If available)

Full Name

Date of Birth

Gender

Hebrew Name (If available)

ADULT CHILDREN & PARTNERS

Name & Partner

Date of Birth

Living at Home?

Name & Partner

Date of Birth

Living at Home?

Name & Partner

Date of Birth

Living at Home?

Name & Partner

Date of Birth

Living at Home?

FRIENDS AND RELATIVES WHO ARE MEMBERS OF TEMPLE EMANU-EL

Friends and Family at Temple Emanu-El

Please provide their names and relationship.

YAHRZEITS

The Temple will inform you each year of the yahrzeit (anniversary of death according to the Hebrew calendar) of your family members. You can enter those now or later. To add them later, please contact the front office.

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 CONNECTION WITH OTHER JEWISH COMMUNITIES

Synagogue/Organization

City

Denomination

Dates Affiliated

Synagogue/Organization

City

Denomination

Dates Affiliated

JEWISH EDUCATIONAL BACKGROUND

We are interested to know what educational experiences you have had that may inform your interests moving forward. It is okay if you don't have any. We are all students!

PERSON 1

PERSON 2

Select all activities in which you have participated:

Religious SchoolJewish Day SchoolBar/Bat Mitzvah

Jewish Youth ProgramsJewish Study/ClassesVisiting Israel

Religious SchoolJewish Day SchoolBar/Bat Mitzvah

Jewish Youth ProgramsJewish Study/ClassesVisiting Israel

Name

Conversion Date

Rabbi

Synagogue

Name

Conversion Date

Rabbi

Synagogue

Name

Conversion Date

Rabbi

Synagogue

GETTING INVOLVED

What are you passionate about? What do you want to learn? What gifts do you want to share? How might you want to connect our synagogue to other communities you are a part of?

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

Friends/relatives

Please indicate their names

'GIFT OF THE HEART' CONTRIBUTION

At Temple Emanu-El, we ask each household to make a Gift of the Heart—a financial contribution that feels both comfortable and personally meaningful. These contributions are essential to sustaining the wide range of programs, services, and Jewish experiences that make our community so vibrant.

The estimated cost to sustain the synagogue is $3,000 per household. If that amount isn’t within your budget, we encourage you to give in a way that feels right for you. And if you are in a position to give above that level, your generosity helps ensure that Temple Emanu-El remains accessible and thriving for all who wish to belong.

After you submit your application, Naydine Rock, our Development Associate, will reach out to warmly guide you through the Gift of the Heart process, answer any questions, and help you determine a meaningful contribution.

We’re so grateful for your support and excited to welcome you into our community!