New Member Application Form - Form - Temple Beth El of South Orange County

Adult 1 - Title

Adult 1 - First Name

Adult 1 - Last Name

Adult 1 - Nick Name

Adult 1 - Gender

Adult 1 - Date of Birth

Adult 1 - Hebrew Name

Adult 1 - Fathers Hebrew Name

Adult 1 - Mothers Hebrew Name

Adult 1 - Cell Phone

Adult 1 - Email Address

Adult 1 - Marital Status

Adult 1 - Anniversary date, if applicable

Is Adult 1 Jewish?

Adult 1 - Occupation

Adult 1 - Full time/Part time/Retired:

Adult 1 - Employer

Adult 1 - Home Mailing Address

Adult 1 - City

Adult 1 - State

Adult 1 - Zip Code

Adult 1 - Home Phone

Adult 1 - Are there any other areas of interest not mentioned above?

Adult 1 - Have you ever been in a position of leadership? If so, please explain.

Adult 1 - Please describe any special skills or talents:

Is there a second adult applying for membership?

Adult 2 - Title

Adult 2 - First Name

Adult 2 - Last Name

Adult 2 - Nick Name

Adult 2 - Gender

Adult 2 - Date of Birth

Adult 2 - Hebrew Name

Adult 2 - Fathers Hebrew Name

Adult 2 - Mothers Hebrew Name

Adult 2 - Cell Phone

Adult 2 - Email Address

Adult 2 - Marital Status

Is Adult 2 Jewish?

Adult 2 - Occupation

Adult 2 - Full time/Part time/Retired:

Adult 2 - Employer

* Does Adult 2 live at the same address?

Adult 2 - Home Mailing Address

Adult 2 - City

Adult 2 - State

Adult 2 - Zip Code

Adult 2 - Home Phone

Adult 2 - Are there any other areas of interest not mentioned above?

Adult 2 - Have you ever been in a position of leadership? If so, please explain.

Adult 2 - Please describe any special skills or talents:

Mail will be addressed to Mr. & Mrs. unless requested otherwise.

Please address our mail as follows:

Would like to list an additional address?

Address Type

Address

City

State

Zip Code

Phone

* How many children live in the family home?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Nick Name

Child 1 - Hebrew Name in English

Child 1 - Gender

Child 1 - Date of Birth

Child 1 - Age

Child 1 - Grade in Secular School

Child 1 - Secular School Name

Child 1 - E.C.C at Temple Beth El

Child 1 - Religious/Hebrew School

Has Child 1 had a bar/bat mitzvah?

Child 1 - Bar/Bat Mitzvah Date

Child 1 - Youth Group

Child 1 - Post High School Living at Home

Child 1 - College Student

Child 2 - First Name

Child 2 - Last Name

Child 2 - Nick Name

Child 2 - Hebrew Name

Child 2 - Gender

Child 2 - Date of Birth

Child 2 - Age

Child 2 - Grade in Secular School

Child 2 - Secular School Name

Child 2 - E.C.C at Temple Beth El

Child 2 - Religious/Hebrew School

Has Child 2 had a bar/bat mitzvah?

Child 2 - Bar/Bat Mitzvah Date

Child 2 - Youth Group

Child 2 - Post High School Living at Home

Child 2 - College Student

Child 3 - First Name

Child 3 - Last Name

Child 3 - Nick Name

Child 3 - Hebrew Name

Child 3 - Gender

Child 3 - Date of Birth

Child 3 - Age

Child 3 - Grade in Secular School

Child 3 - Secular School Name

Child 3 - E.C.C at Temple Beth El

Child 3 - Religious/Hebrew School

Has Child 3 had a bar/bat mitzvah?

Child 3 - Bar/Bat Mitzvah Date

Child 3 - Youth Group

Child 3 - Post High School Living at Home

Child 3 - College Student

Child 4 - First Name

Child 4 - Last Name

Child 4 - Nick Name

Child 4 - Hebrew Name

Child 4 - Gender

Child 4 - Date of Birth

Child 4 - Age

Child 4 - Grade in Secular School

Child 4 - Secular School Name

Child 4 - E.C.C at Temple Beth El

Child 4 - Religious/Hebrew School

Has Child 4 had a bar/bat mitzvah?

Child 4 - Bar/Bat Mitzvah Date

Child 4 - Youth Group

Child 4 - Post High School Living at Home

Child 4 - College Student

* How many children over the age of 18, not living with you, do you have?

Child 1 - Title

Child 1 - First Name

Child 1 - Last Name

Child 1 - Birth Date

Child 1 - Last Name of Spouse, if married

Child 1 - Title of Spouse

Child 1 - Number of Children

Child 1 - Ages of Children

Child 1 - Address

Child 1 - City

Child 1 - State

Child 1 - Zip Code

Child 2 - Title

Child 2 - First Name

Child 2 - Last Name

Child 2 - Birth Date

Child 2 - Last Name of Spouse, if married

Child 2 - Title of Spouse

Child 2 - Number of Children

Child 2 - Ages of Children

Child 2 - Address

Child 2 - City

Child 2 - State

Child 2 - Zip Code

Child 3 - Title

Child 3 - First Name

Child 3 - Last Name

Child 3 - Birth Date

Child 3 - Last Name of Spouse, if married

Child 3 - Title of Spouse

Child 3 - Number of Children

Child 3 - Ages of Children

Child 3 - Address

Child 3 - City

Child 3 - State

Child 3 - Zip Code

The names of your deceased loved ones will be read in synagogue the Friday evening before the Yahrzeit Date (anniversary of death). Unsure of the date? Choose a date on which to remember your loved one.

* How many yahrzeits would you like to observe?

Deceased Name

Relationship

To whom?

Date of Death

Hebrew/English Observance

Deceased Name

Relationship

To whom?

Date of Death

Hebrew/English Observance

Deceased Name

Relationship

To whom?

Date of Death

Hebrew/English Observance

Deceased Name

Relationship

To whom?

Date of Death

Hebrew/English Observance

Temple Beth El make a special effort to address the diversity of congregants' needs in developing programs. Please complete the information below to assist us in learning more about your family.

Are you an Interfaith Family?

* This household consists of:

Anniversary date, if appicable

Does anyone in the household have physical limitations which the temple's facilities might better accommodate?

What type of limitations:

VisionHearingMobilityOther

Please use the space below to indicate any other information you would like us to know.

* Do you own cemetery property?

* Cemetery Location

* No, please have the cemetery representative contact me

No, please have the cemetery representative contact me

How did you hear about Temple Beth El?

Were you referred to Temple Beth El? If so, by whom?

Name, City and State of previous congregation

Year you left that congregation

Do you have any outstanding financial obligations to that congregation?

Temple Beth El of South Orange County and related organizations may use pictures of members and their child(ren) in TBESOC's promotional materials, including both printed and electronic media.

Our synagogue is alive every day of the week with activities that touch the hearts and minds of members of all ages. Our broad range of activities, programs, and services create many avenues for each of us to become engaged in out synagogue life and to develop strong relationships with others in our Temple Beth El Community. In all the ways you choose to take part in our community - practicing in prayer and study, volunteering in social action programs, attending High Holy Day services, celebrating simchas - your generous financial support is a key ingredient in our recipe for success.

Annual contributions are a gift that we each ake to help keep the doors open and programming running. Each year, we will ask you to determine your annual, tax deductible contribution to our Temple community, based on your ability to assume a fair-share of our operating budget. For our most recent fiscal year, the cost to operate our synagogue averaged $4,500 per member family. (This includes contributions towards security.) We hope you take this into consideration when determining how much you can contribute to maintaining our community.

In support of our spiritual home and in recognition of the Brit/Covenant we undertake as members, I/We hereby pledge to Temple Beth El my/our Annual Contribution of:

Members contributing at or above the Sustainer Level ($4,500/yea) will be recognized with the congregation

I/We prefer to remain anonymous.

Upon submission of this form at the bottom of the page you will be taken to our online payment page where you will be able to pay in full or setup a recurring payment plan via credit card of e-check/ACH. Payment may also be made by check. I prefer to pay by:

People Helping People - Help ensure no one is denied membership due to their financial circumstances:

Please enter an amount above

MIRSKY Temple Beth El Religious School Scholarship Fund - Help ensure no child is denied a Jewish Education at Temple Beth El;

Please enter an amount above.

BE Sisters Annual Membership

$36 annual fee, due immediately by credit card or e-check.

Men's Club Annual Membership

$36 annual fee, due immediately by credit card or e-check.

Temple Beth El is a community for us now, AND for generations to come. Continue the legacy of a Jewish community here in South Orange County by remembering Temple Beth El in your Will or other Estate Plans. Leaving a gift after your lifetime supports a cause that has been important in each of our lives. We are happy to provide information about dozens of ways to leave a Jewish legacy, at every economic level. Please click here for more information.

Total Commitment