Serving the Jewish Community of Humboldt County, California
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Online Application
Temple Beth El Membership Application
TBE Online Membership Application
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Personal Information
First Name
(Required)
Last Name
(Required)
Email Address
(Required)
Confirm Email
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Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Your Phone
(Required)
Best Time to Call You
Mornings
Early Afternoon
Late Afternoon
Evenings
Full Name/Adult One
(Required)
Full Name/Adut Two
Date of Birth/Adult One
(Required)
MM slash DD slash YYYY
Date of Birth/Adult Two
MM slash DD slash YYYY
Hebrew Name/Adult One
Hebrew Name/Adult Two
Occupation/Adult One
Occupation/Adult Two
Name of Buisness/Adult One
Name of Business/Adult Two
Business Location/Adult One
Business Location/Adult Two
Business Phone/Adult One
Business Phone/Adult Two
Jewish Connection
Reasons for Joining Temple Beth El
Why are you interested in joining Temple Beth El?
Referred By
Please provide name and contact info, if available.
Previous Jewish Affiliation
Please provide the name and location of institution(s), and years of affiliation.
Religious Tradition/Adult One
Reform
Conservative
Orthodox
Jewish Unaffiliated
Non-Jewish
TBE Concewrsion Student
Religious Tradition/Adult Two
Reform
Conservative
Orthodox
Jewish Unaffiliated
Non-Jewish
Tbe Conversion Student
Hebrew Fluency/Adult One
None
Fluent
Some Conversation
Prayer Book
Aleph-Bet Recognition
Hebrew Fluency/Adult Two
None
Fluent
Some Conversation
Prayer Book
Aleph-Bet Recognition
Jewish Education/Adult One
None
B'nai MItzvah
Confirmation
Summer Camp
Adult Education
Jewish Education/Adult Two
None
B'nai Mitzvah
Confirmation
Summer Camp
Adult Education
Experience
Please indicate any experience you may have had which may be of interest to Temple Beth El. You may select as many items as appropriate.
Experience/Adult One
Religious School Teaching
Religious School Administration
Leading Friday Night Services
Leading Saturday Morning Services
Teaching Jewish Adult Education
Chanting Torah or Haftara
Judica Artwork
Musical Skills
Temple Administration
Temple Board of Directors
Temple Committees
Grantwriting
Website Design and Management
Jewish Camp Counselor
Travel or Residence in Israel
Knowledge of Yiddish, Ladino, or Juedo-Arabic
Other experience pertinent to Temple Beth El
Experience/Adult Two
Religious School Teaching
Religious School Administration
Leading Friday Night Services
Leading Saturday Morning Services
Teaching Jewish Adult Education
Chanting Torah or Haftara
Judica Artwork
Musical Skills
Temple Administration
Temple Board of Directors
Temple Committees
Grantwriting
Website Design and Management
Jewish Camp Counselor
Travel or Residence in Israel
Knowledge of Yiddish, Ladino, or Juedo-Arabic
Other experience pertinent to Temple Beth El
Experience Details/Adult One
Please provide details for any experience item selected above.
Experience Details/Adult Two
Please provide details for any experience item selected above.
Family Information>
Minor Children
Name/Minor Child One
First
Last
Name/Minor Child Two
First
Last
Name/Minor Child Three
First
Last
Nickname/ Minor Child One
Nickname/Minor Child Two
Nickname/Minor Child Three
Dete of Birth/Minor Child One
MM slash DD slash YYYY
Date of Birth/ Minor Child Two
MM slash DD slash YYYY
Date of Birth/Minor Child Three
MM slash DD slash YYYY
Gender/Minor Child One
Gender/Minor Child Two
Gender/Minor Child Three
School/Minor Child One
School/Minor Child Two
School/Minor Child Three
Previous Jewish Education/MC 1
Previous Jewish Education/MC 2
Previous Jewish Education/MC 3
Jewish Summer Camp Exp/MC 1
Jewish Summer Camp Exp/MC 2
Jewish Summer Camp Exp/MC 3
Exp in NFTY or Other Youth Program/MC 1
Exp in NFTY or Other Youth Program/MC 2
Exp in NFTY or Other Youth Program/MC 3
Will Attend TBE Religious School?/MC 1
Will Attend TBE Religious School?/MC 2
Will Attend TBE Religious School?/MC 3
Future TBE B'nai Mitzvah?/MC 1
Future TBE B'nai Mitzvah?/MC 2
Future TBE B'nai Mitzvah?/MC 3
Interest in TBE Youth Group?/MC 1
Interest in TBE Youth Group?/MC 2
Interest in TBE Youth Group?/MC 3
Adult Children
Please provide names, ages, place of residence, occupation of any adult children
Grandchildren
Please provide names, ages, place of residence, occupation.of any grandchildren.
Other Relatives or Special Relationships
Yahrzeit - Remembering Departed Relatives
Name
First
Last
Relationship
Date, Time and Year of Death (if known)
Name
First
Last
Relationship
Date, Time and Year of Death (if known)
Committees
New members are warmly encouraged to join one or more of the following committees:
TBE Committee Interest/Adult One
You may indicate interest in as many TBE committees as you wish:
Adult Education/Guest Presenters
(assists with events and classes on topics of interest to the Jewish community.)
Building
(maintains and repairs Temple facilities, equipment and grounds.)
Children's Education
(collaborates with Jews in the Wilderness staff on classes and special events.)
Holiday
(coordinates with Rabbi to design and coordinate yearly holiday observances.)
Library
(manages TBE collection of books, tapes, and CDs)
Membership
(recruits and welcomes new members and supports current members.)
Hevra Kaddisha
(a sub-committee of Membership; prepares the dead for burial)
Loving Kindness
(a sub-committee of Membership; organizes support for members in need)
Ritual
(collaborates with Rabbi and Tefilah Leaders on ritual practices, and maintains ritual objects and prayer books.)
Security
(provides a secure and welcoming facility for all programs and events. )
Social Action
(provides meals to homeless shelters, represents TBE in social and environmental justice projects and events.)
Technology
(supports TBE technology systems, including livestream/Zoom, website, and audio/visual software and hardware.)
TBE Committee Interest/Adult Two
You may indicate interest in as many TBE committees as you wish:
Adult Education/Guest Presenters
(Assists with events and classes on topics of interest to the Jewish community.)
Building
(maintains and repairs Temple facilities, equipment and grounds.)
Children's Education
(collaborates with Jews in the Wilderness staff on classes and special events.)
Holiday
(coordinates with Rabbi to design and coordinate yearly holiday observances.)
Library
(manages TBE collection of books, tapes, and CDs)
Membership
(recruits and welcomes new members and supports current members.)
Hevra Kaddisha
(a sub-committee of Membership; prepares the dead for burial)
Loving Kindness
(a sub-committee of Membership; organizes support for members in need)
Ritual
(collaborates with Rabbi and Tefilah Leaders on ritual practices, and maintains ritual objects and prayer books.)
Security
(provides a secure and welcoming facility for all programs and events.)
Social Action
(provides meals to homeless shelters, represents TBE in social and environmental justice projects and events.)
Technology
(supports TBE technology systems, including livestream/Zoom, website, and audio/visual software and hardware.)
Additional Information
Is there any other information you would like to add to your application?
Thank you for your application. Press the red button below to submit . Someone from the TBE Membership Committee will contact you in the very near future.
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