Membership Application
We are pleased that you have chosen to join Temple Beth El. To further your full involvement in the life of the congregation,
we ask that you carefully complete this application. The data you share with us remains in complete confidence.
Adult One
__________________________________________________________________________________
First Name Middle Initial Last Name
Preferred Name (nickname): ______________________ Title you prefer: / Mr. / Mrs. / Ms. / Dr.
Marital Status: / Married (Anniversary Date :_________________) / Single / Divorced / Widowed
Date of Birth: ______________________ E-Mail: _______________________________________
Home Address: _____________________________________________________________________ __________________________________________________________________________________
Street
__________________________________________________________________________________
City State Zip
Home Phone: _________________________ Cell Phone: ________________________
Occupation: __________________________ Work Phone: _______________________
Are you: / Jewish / Non-Jewish
Hebrew Name: _________________________________________________________________________
Adult Two
__________________________________________________________________________________
First Name Middle Initial Last Name
Preferred Name (nickname): ______________________ Title you prefer: / Mr. / Mrs. / Ms. / Dr.
Date of Birth: ______________________ E-Mail: _______________________________________
Cell Phone: ________________________
Occupation: __________________________________ Work Phone: ________________________
Are you: / Jewish / Non-Jewish
Hebrew Name: _________________________________________________________________________
Dependent Children
Name Date of Birth Grade in August 2006
Child: ____________________________________________________________________________
Child: ____________________________________________________________________________
Child: ____________________________________________________________________________
Child: ____________________________________________________________________________
Child: ____________________________________________________________________________
Yahrzeit Information
Please list the names of those who have died and for whom you wish Yahrzeit recited. Those people will be memorialized at the Shabbat services prior to the anniversary date according to either the Jewish or secular calendar. Names should be limited to immediate family (parents, grandparents, children, siblings, etc.)
Name Relationship to Husband or Wife Date of Death (mm/dd/yy) H or S
________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
________________________________________________________________________________
Previous Congregational Affiliation: _______________________________________________________
City: _____________________________________________ Reform? / Yes / No
How long have you lived in Knoxville? _________
How did you become interested in joining Temple Beth El? _______________________________
__________________________________________________________________________________
Did a member of Beth El ask you to join? / Yes / No If yes, who? ___________________________
Does your family have a cemetery plot : / Yes / No Where? _______________________________
Would you like to arrange for a cemetery plot in our reserved section? / Yes / No
|
Temple Beth El welcomes volunteers. Can we count on you to help with: |
Do you have any special skills, talents or hobbies that you might share with us? |
Would you be interested in being a member of a standing committee? |
• Mailing / Art / Budget and Finance
• Answering telephones / Music / Education
• Making phone calls / Photography / Membership
• Preparing a newsletter / Theater / Ritual
• The library / Crafts / House and Property
• Assisting with Onegs / Writing/Editing / Fundraising
• Sending Yahrzeit notices / Computer / Cemetery
• The Judaica Shop / Desktop Publishing / Directory
• Greeting and Ushering / Social
Would you be interested in being a member of any of the following organizations/activities?
• Women of Reform Judaism (Sisterhood)
• Adult Education Classes
• Adult Bar/Bat Mitzvah
I hereby make application for membership in Temple Beth El. Upon acceptance, I agree to support the Temple and its Reform Community and abide by its constitution, by-laws, rules, and regulations.
Dues will be prorated quarterly starting July 1 and will be based upon date of application. Using the following prorated quarterly guidelines the amount of your dues will be assessed as such:
July 1 to Sept. 30 will be assessed at 100% of the yearly amount Oct. 1 to Dec. 31 will be assessed at 75% of the yearly amount
Jan. 1 to Mar. 30 will be assessed at 50% of the yearly amount
Apr. 1 to Jun. 30 will be assessed at 25% of the yearly amount
I/we are requesting our annual dues be set at $__________________ based on the Fair Share guidelines.
Applicants should enclose a check (made payable to Temple Beth El ) for a minimum of 25% of the total yearly Fair Share dues amount which will be deposited upon receipt of application.
Signature #1 _____________________________________________ Date _________________________
Signature #2 _____________________________________________ Date _________________________
(Please note: joint application cannot be processed without the signature of both adults)
Fair Share Plan
It costs Temple Beth El an average of $1,490.00 per membership unit to operate, not including Endowment Funds. Dues are assessed on a fair share basis, in which members are asked to determine their obligations based on a sincere and honest evaluation of their total family income. This information is confidential. Every spring, members have an opportunity to reassess their fair share commitment.
The Fair Share guidelines for 2006-2007 are:
|
Total Family Income |
Suggested Dues |
|
$0 - $20,000 |
$120 |
|
$30,000 |
$275 |
|
$40,000 |
$425 |
|
$50,000 |
$800 |
|
$60,000 |
$1,000 |
|
$70,000 |
$1,350 |
|
$80,000 |
$1,600 |
|
$100,000 |
$2,250 |
|
$150,000 |
$3,500 |
|
$200,000 |
$5,000 |
|
$250,000 |
$6,500 |
|
$300,000 |
$8,000 |
|
$400,000 |
$11,000 |
|
$500,000 + |
$14,000 |
Members who have special financial circumstances are asked to contact the temple financial secretary (Stephen Eisen – 865-691-9922) to arrange an individual financial commitment. When such arrangements are made, they are held in strictest confidence.