Membership Application
Congregation Beth Ahm ---- Membership Application
Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Hebrew Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Spouse's Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Hebrew Name _ _ _ _ _ ________________________________________
Address ___________________________________________________________________________________________________________________________________________________
Home Phone _______________________ Cell Phone ______________ E-Mail _____________________________________
Work Phone _________________________
Children's Name(s) Hebrew Name Ages(s) Religious Education to Date
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
Yahrzeits
:
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Why are you becoming a member?
(check all that apply):
___ Spiritual/Religious Connection ___ Weekly Services ___ Holiday Observances
___ Social Relationships ___ Religious School for Youth ___ Adult Education
___ Support for Our Interfaith Family ___ Support of Rabbi
How did you learn about our synagogue?
________________________________________________
Special skills and/or interests you bring.
(check all that apply):
___ Computer Skills/Light Typing ___ Goodwill Phone Calls to Ill Members
___ Fundraising ___ Membership Committee
___ Special Events, Planning and Helping ___ Phone Tree Callers
___ Clean Up after Events or Services ___ Singing
___ Cooking for Events ___ Accounting
___ Rituals/High Holy Days Planning ___ Legal
___ Teaching ___ Landscaping
___ Writing - Special Services, Newsletters ___ Mitzvah Brigade
Odd jobs
(check all that apply): ___ Painting, ___ Carpentry, ___ Electrical, ___ Plumbing (Licensed?)
Other ________________________________________________________________________________________
What else would you like to share with us about you and your membership?
_____________________________________
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I hereby agree to abide by the by-laws of Congregation Beth Ahm.
Signature(s) ___________________________________________________ Date _________________________
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