New Member Application - Form - Beth Sholom Congregation and Talmud Torah

Welcome to the Beth Sholom 2021-2022 Membership Form! Any person of the Jewish faith, over 18 years of age, may become a Member of the Congregation, subject to review by the Rabbi and Board of Directors. If you need additional information please contact us.

MEMBER INFORMATION

Title

* First Name

* Last Name

Hebrew Name

* Address

Address (Line 2)

* City

* State

* Zip Code

Home Phone

Mobile Phone

Work Phone

Date of Birth

INFORMATION FOR SECOND ADULT MEMBER (IF APPLICABLE)

Title

Second Adult First Name

Second Adult Last Name

Second Adult Hebrew Name

Full Address (if different than above)

Home Phone

Mobile Phone

Work Phone

Date of Birth

CHILDREN IN HOUSEHOLD

Child 1 English Name

Child 1 Hebrew Name

Child 1 Date of Birth

Child 2 English Name

Child 2 Hebrew Name

Child 2 Date of Birth

Child 3 English Name

Child 3 Hebrew Name

Child 3 Date of Birth

Child 4 English Name

Child 4 Hebrew Name

Child 4 Date of Birth

Additional Child(ren)

YAHRZEIT/MEMORIAL ANNIVERSARIES

Deceased First Name

Deceased Last Name

Deceased Hebrew Name

Gender of the Deceased

English Date

Hebrew Date

COMMUNICATION PREFERENCES

Out of respect for the environment and to minimize operating costs, synagogue communications will primarily be done via email/website. If you prefer to hear from us by mail, we are happy to include you in our opt-in mail distribution list.

Membership Directory: Members are automatically included in our membership directory unless noted here:

Online Membership Directory: Members can opt-in to be included in the Online Membership Directory. Members must login to access information.

GETTING INVOLVED

Please upload photo of you here!

Yes, please set me up with a member of the community for a Shabbat meal!

MEMBERSHIP DUES INFORMATION

OPTION A: Regular Membership Plans

Membership Plans do not include donations to our building fund (see information below). Please select the best plan for you.

Select your preferred plan:

Household Membership ($2,100)Individual Membership ($1,227.50)Security Assessment ($75)Membership is available to everyone regardless of financial circumstances. If the dues levels present a significant financial hardship for the coming year we will work with you to find a dues level commensurate with you

Dues Adjustment Request (Please submit your request for modified payment, keeping in mind that all payments can be paid in installments or paid at a later date) Beth Sholom depends on membership dues to support our daily operating expenses. We value all contributions and we never turn someone away for lack of funds or inability to pay the full membership rate. All communications about reduced payments will be kept confidential.

OPTION B: Annual Giving Membership Plans

Show your commitment by participating in one of our comprehensive annual giving plans. Plans include membership.

The Annual Giving Plan (AGP) is Beth Sholom’s vehicle to pledge one sum in the beginning of the year and then allocate the pledge as you see fit throughout the year. The pledge is similar to a flex account which can be used at your convenience. Beth Sholom Congregation depends on those contributing to the Annual Giving Plan to keep our community financially stable and thriving. Each year, dues cover only 40% of our community costs. This gap, common to most synagogues, can be filled by your generous gifts. We are deeply grateful to our many AGP families for committing to being pillars which support our shul.

Select your preferred HOUSEHOLD plan:

Platinum (Household) - $15,500Gold (Household) - $10,500Silver (Household) - $8,500Bronze (Household) - $6,500

Select your preferred INDIVIDUAL plan:

Platinum (Individual) - $7,750Gold (Individual) - $5,250 Silver (Individual) - $4,250Bronze (Individual) $3,250

Total Due

ELIGIBILITY: To be eligible for Beth Sholom membership, the applicant must be Jewish according to Jewish Law.

I affirm that the biological mother of each adult member is/was Jewish and was born a JewMember/s of our family have gone through a conversion to Judaism. I will upload conversion forms in box below.I would like to have a confidential conversation with Rabbi Antine

Conversion Documents

BUILDING FUND

The Beth Sholom building is our collective spiritual home. It is the place where we daven, study, celebrate during good times, and support each other during difficult times. We therefore have a $4,000 building fund pledge per household ($2000 for individual members) so that we can collectively take care of our spiritual home. The building fund is used to help pay down the building loan and support ongoing maintenance of the building. The pledge could either be paid at once or over 5 years. If you need a different payment plan, please indicate this below and we will be in touch.

I would like to pay my building fund donation all at once. I would like to pay my building fund donation annually. I would like to pay my building fund donation monthly.I would like someone in the office to contact me to have a confidential conversation about payment options for the building fund

We will follow up within 7-10 business days at which point you can make your dues payment or setup a dues payment plan. Please contact Rachel Zutshi or call the office 301-279-7010 with any questions.