Membership Application

Welcome to Congregation Temple Israel!

We are delighted you have chosen to become part of our community. We hope that you will find an enriching experience, and we encourage you to explore the diverse opportunities for Jewish expression that TI offers.

Please feel free to call upon our Rabbis, staff, and lay leaders to assist you in becoming part of our TI family. The information you provide will be treated confidentially.

Do not hesitate to contact Martina Stern, Executive Director, at mstern @ti-stl.org or 314-432-8050 if you have any questions or need assistance completing this application.

Please fill out the form below in its entirety, submit, and our membership team will be in touch with you very soon!

WHAT BROUGHT YOU TO TEMPLE ISRAEL?

* Why would you like to join Temple Israel?

* Is there someone we may thank for referring you to Temple Israel?

Please list the names of any relatives or close friends who already belong to Temple Israel:

PERSONAL INFORMATION

The Basics

Title (Mrs., Mr., Dr., etc. - optional)

* First Name

* Last Name

Nickname or name you'd prefer to go by (if applicable)

* Email Address

As a member, we will automatically add you to our email list. If you would like to opt out, please check this box.

Contact Information

Cell Phone Number

Home Phone Number

* Address

* City

* State

* Zip Code

City and State of Previous Residence

Getting to Know You

* Date of birth

Birthplace

* Gender - I identify as:

* Personal status

Anniversary Date

Let us know what accommodations would be helpful for you.

Large print prayerbooksAssisted hearing devicesPhysical accommodationsOther

Any details you give can help us serve you better.

Religious Background

* Religious Identity

Please Select OneJewishInterested in/in the process of becoming JewishOther

What is your religion?

If you became Jewish as an adult, please list: Date of conversion, congregation, city, and state

Religious background in which you were raised

Your Hebrew name (if applicable)

Hebrew proficiency

ReadSpeakChant TorahNone

Congregation with whom you're most recently or currently affiliated

Work Information

Employer

Occupation/Title

Area of specialization

Work Phone Number

If retired, name of industry or job that you served most of your career

Get Involved

We love when members participate as much as they are comfortable with, and we have many opportunities to be involved. Each individual’s participation will help strengthen the community and make the experience at TI more meaningful.

Please let us know more about your interests and special skills and how you'd like to get involved at TI.

As a TI member, I'd love to get involved with:

Service and volunteer opportunitiesMission-based committees (like Worship or LGBTQ+)Operations-based committees (like Finance or Governance)

Interests, passions, and special skills

What else would you like us to know about you?

Adding Additional Adults

Would you like to add another ADULT to your account?

No, thanksYes, please

PERSONAL INFORMATION: Adult 2

The Basics

Title (Mrs., Mr., Dr. or other - optional)

First Name

Last Name

Nickname or name you'd prefer to go by (if applicable

Cell Phone Number

Email Address

As a member, we will automatically add you to our email list. If you would like to opt out, please check this box.

Getting to Know You

* Date of birth

* Date of birth (MM/DD/YYYY):

Birthplace

Gender - I identify as:

Let us know what accommodations would be helpful for you.

Large print prayerbooksAssisted hearing devicesPhysical accommodationsOther

Any details you give can help us serve you better.

Religious Background

Religious Identity

JewishInterested in/in the process of becoming JewishOther

What is your current or previous religion?

If you became Jewish as an adult, please list: date of conversion, congregation, city, and state

Religious background in which you were raised

Hebrew Name (if applicable)

Hebrew Proficiency

ReadSpeakChant TorahNone

Congregation with whom you're most recently or currently affiliated

Work Information

Employer

Occupation/Title

Area of specilization

Work Phone Number

If retired, name of industry or job that you served most of your career

Adding Children to Your Account

Would you like to add a CHILD/CHILDREN to your account?

No, thanksYes, please

Child 1 Name

Date of Birth

Hebrew Name (if applicable)

Child 2 Name

Date of Birth

Hebrew Name (if applicable)

Child 3 Name

Date of Birth

Hebrew Name (if applicable)

Child 4 Name

Date of Birth

Hebrew Name (if applicable)

Child 5 Name

Date of Birth

Hebrew Name (if applicable)

Get Involved

As a TI member, I'd love to get involved with:

Service and volunteer opportunitiesMission-based committees (like Worship or LGBTQ+)Operations-based committees (like Finance or Governance)

Interests, passions, and special skills

What else would you like us to know about you?

Emergency Contacts

Emergency contacts are adults besides the members on the account who can be called upon in an emergency. Please list at least 1.

* Emergency Contact Name

* Emergency Contact Relationship

* Emergency Contact Phone Number

Emergency Contact 2 Name

Emergency Contact 2 Relationship

Emergency Contact 2 Phone Number

Emergency Contact 3 Name

Emergency Contact 3 Relationship

Emergency Contact 3 Phone Number

MEMBERSHIP AGREEMENT

In order to join Congregation Temple Israel, your typed name below indicates you affirm that the following statements are true:

-All financial obligations to current or previous congregations are current
-All previous obligations as to dues, building funds, or other pledges have been paid
-Agreed upon dues with TI must be current to receive rabbinical services
-If we wish to resign from TI, we will do so in writing and all amounts owed at the time of resignation will remain our obligation until fully paid or otherwise discharged

* Primary Member Full Name

Secondary Member Full Name

As an organization open to the public, Temple Israel may take and use photos or video of members and guests in digital or print communications. If you have any questions, please contact Erin Wolfman May, Communications Director, at emay@ti-stl.org or 314-432-8050.

Welcome to Congregation Temple Israel!

WHAT BROUGHT YOU TO TEMPLE ISRAEL?

PERSONAL INFORMATION

The Basics

Contact Information

Getting to Know You

Religious Background

Work Information

Get Involved

Adding Additional Adults

PERSONAL INFORMATION: Adult 2

The Basics

Getting to Know You

Religious Background

Work Information

Adding Children to Your Account

Get Involved

Emergency Contacts

MEMBERSHIP AGREEMENT

Congregation Temple Israel

#1 Rabbi Alvan D. Rubin Drive, St. Louis, MO 63141
Office: 314-432-8050 Fax: 314-432-8053

www.ti-stl.org

Follow us on social media!