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TBE Membership Application
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Welcome to Temple Beth El! We are so excited to welcome you into our community. We were founded in 1850 and are affiliated with the Union for Reform Judaism (URJ).
Please complete this form. All information will be maintained at Temple Beth El and treated confidentially. If you have any questions, contact our director of community engagement at 248-851-1100 or njahr@tbeonline.org.
*
First Name
of person filling out the form
Email
I/We are new to the Detroit metro area.
I/We are new to the Detroit metro area.
What is your primary reason for joining Temple Beth El?
How did you hear about Temple Beth El?
CONTACT & DEMOGRAPHIC INFORMATION
Member 1 (adult)
Member 2 (adult)
First Name
First Name
Last Name
Last Name
Pronouns
Please make a selection:
She, her, hers
He, him, his
They, them, theirs
other
Pronouns
Please make a selection:
She, her, hers
He, him, his
They, them, theirs
other
Title
Please make a selection:
Mr.
Ms.
Mrs.
Miss.
Dr.
None or Other
Title
Please make a selection:
Mr.
Ms.
Mrs.
Miss.
Dr.
None or Other
Maiden Name, if applicable
Maiden Name, if applicable
Email Address
Email Address
Hebrew Name, if known/applicable
Hebrew Name, if known/applicable
Birthday
Birthday
Birthplace
Birthplace
Mobile Number
Mobile Number
Primary Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
If you have a second residence, please list below:
How would you prefer your mail to be addressed?
Examples: The Cohen Family, Mr. and Mrs. Cohen
BUSINESS INFORMATION
Member 1 (adult)
Member 2 (adult)
Employer
Employer
Position/profession
Position/profession
Business phone
Business phone
If retired, previous profession
If retired, previous profession
PERSONAL BACKGROUND
Relationship status
Please make a selection:
Single
Engaged (please list wedding date)
Partnered
Divorced
Widowed
Married (please list date)
Other
If engaged, wedding date:
If married, date:
Member 1 Military Service
Please make a selection, if applicable.
Active Duty
Veteran
Air Force
Army
Navy
Marine Corps
National Guard
Coast Guard
Member 2 Military Service
Please make a selection, if applicable.
Active Duty
Veteran
Air Force
Army
Navy
Marine Corps
National Guard
Coast Guard
CHILDREN'S INFORMATION
How many children would you like to add to your account?
0
1
2
3
4
5
6
7
8
9
10
First Name
Last Name
Pronouns
Please make a selection:
He/Him/His
She/Her/Hers
Them/They/Theirs
Other
Birthday
Hebrew Name, if known/applicable
Is child living.....
at home.
away at school/college.
in own home (is an adult).
School Name, if applicable
Current Grade Level
Cell Phone, if applicable
Email address, if applicable
GENERAL QUESTIONS
Are you currently a member of another congregation?
No
Yes
Please share which congregation you are currently a member of.
Please list any friends and relatives (name and relationship) who are also Temple Beth El members (example, Janet Cohen-Mother).
Please provide us with any other information that will help us get to know you.
RELIGIOUS BACKGROUND
To help us better understand where you are on your Jewish journey, please share with us as much about your background as you are comfortable.
Member 1 (adult)
Member 2 (adult)
My upbringing was primarily rooted in:
Please make a selection:
Jewish-Reform
Jewish-Conservative
Jewish-Orthodox
Jewish-Other
Jewish-not affiliated
Not Jewish
In the conversion to Judaism process.
No religion
Hobbies/Interests
Hobbies/Interests
Most recent congregational affiliation. Please list name of congregation, location and dates.
Most recent congregational affiliation. Please list name of congregation, location and dates.
Please indicate interest in any of the following TBE groups and volunteer opportunities.
Early Childhood Center (learning and care for preschool children)
Masa (Jewish education for grades K-7)
Masa Teens (elective based learning for grades 8-12)
Kid-Ish Club (young family programming)
BETY K2 (youth group for grades K-2)
BETY 35 (youth group for grades 3-5)
JBETY (youth group for grades 6-8)
BETY (youth group for grades 9-12)
Adult Education
Music (concerts, music Shabbat,playing instrument)
Adult Choir
Youth Choir
Brotherhood
Sisterhood
Beth Elders (programming for seniors)
Rabbi Leo M. Franklin Archives
Prentis Memorial Library
Shiva Corps (volunteers who lead shiva)
Caring Community (volunteers who support members in times of need)
Bereavement Support Group
Reading Torah
Ushering
Israel Trips and Israel Programming
Interfaith Programming
Social Action Programs
Please indicate interest in any of the following TBE groups and volunteer opportunities.
Early Childhood Center (learning and care for preschool children)
Masa (Jewish education for grades K-7)
Masa Teens (elective based learning for grades 8-12)
Kid-Ish Club (young family programming)
BETY K2 (youth group for grades K-2)
BETY 35 (youth group for grades 3-5)
JBETY (youth group for grades 6-8)
BETY (youth group for grades 9-12)
Adult Education
Music (concerts, music Shabbat,playing instrument)
Adult Choir
Youth Choir
Brotherhood
Sisterhood
Beth Elders (programming for seniors)
Rabbi Leo M. Franklin Archives
Prentis Memorial Library
Shiva Corps (volunteers who lead shiva)
Caring Community (volunteers who support members in times of need)
Bereavement Support Group
Reading Torah
Ushering
Israel Trips and Israel Programming
Interfaith Programming
Social Action Programs
INCLUSION
Does anyone in your family have special needs that you wish to disclose?
Is there anything else you would like us to know about your family?
EMERGENCY CONTACT
Name
Phone
Relationship
Yahrzeit Record (name of deceased, relationship, English date of death)
Please list names and dates of loved ones for whom you'd like to have Yahrzeit (remembrance) notices sent. Please note: Temple Beth El sends notices using the secular calendar unless otherwise requested.
FINANCIAL COMMITMENT INFORMATION
Members make three financial commitments, one for an annual membership contribution, another to the Building Fund - a pledge to support the ongoing maintenance of our building, lastly the Security Fee - to maintain the utmost possible safe environment during worship and programming. Temple Beth El Staff and Board of Trustees never want finances to be a barrier to synagogue affiliation. Our director of community engagement will review these financial commitments with you.
LET US MEET YOU!
Please share a recent photo of you and your family to be used for internal purposes only.
Check here if Temple Beth El can use your photo in our public publications, in our social media, or on our building monitors.
Check here if Temple Beth El can use your photo in our public publications, in our social media, or on our building monitors.
Tue, December 3 2024
2 Kislev 5785
Tue, December 3 2024 2 Kislev 5785