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New Membership Application
Membership Form 2024-2025
Please verify reCaptcha before submitting the form.
HOUSEHOLD INFORMATION
Address Line 1
Address Line 2
City
State
ZIP
Home Phone
Billing Preference
No Preference
Email
Paper Mail
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Anniversary (If Married)
*
How many adults are in your household?
Please Select One
1 Adult
2 Adults
ADULT 1 DEMOGRAPHIC INFO
Adult 1 Title
Adult 1 First Name
Adult 1 Middle Name
Adult 1 Last Name
Adult 1 Hebrew Name
Adult 1 Informal Name
Adult 1 Date of Birth
Adult 1 Cell Phone
Adult 1 Email Address
Adult 1 Occupation
Is this adult Jewish?
Please Select One
Yes
No
Adult 1 Tribe
Cohen
Levi
Yisrael
None Set
Adult 1 Interests
Adult Learning Opportunities - Engaging in educational programs for adults.
Arts - Creating, painting, sculpting, drawing, mixed media, etc.
Cooking & baking - Helping prepare food for events or participating in culinary activities.
Fiber Arts - Interest in crocheting, sewing, knitting, quilting, or any type of fiber art.
Finance -Assisting with the congregation's financial planning and budgeting.
Endowment Activities - Involvement in long-term financial planning and managing of endowment funds.
Fundraising - Planning and executing fundraising events and campaigns.
Learning Hebrew - Learning how to read and understand Hebrew.
House - Managing repairs, upkeep, and improvements of the synagogue’s physical building.
Grounds - Taking care of the outdoor spaces, including gardening, landscaping, and upkeep of the synagogue’s grounds.
Israel - Organizing or participating in events and discussions focused on Israel and its significance to the community.
Beautification - Enhancing the aesthetic appeal of the synagogue’s interior and exterior spaces.
Membership - Welcoming new members, assisting with membership drives, and helping integrate new members into the community.
Men’s Club - Engage with the men’s group through social, educational, and philanthropic activities.
Performing arts - Participating in or supporting activities such as theater, music, dance, and other live performances.
Physical Activities - Yoga, hiking, walking, dancing, sports, etc.
Publicity and Marketing - Promoting synagogue events and activities through various media and communication channels.
Ritual - Assisting with the planning and execution of religious services and rituals.
Religious Services - Attending and participating in Shabbat and Holiday Services
Sisterhood - Engaging with the women’s group for social, educational, and philanthropic activities.
Special Events- Planning, organizing, and supporting events that bring the community together.
Spiritual Education - Learning how to be a better person through Jewish teachings like Talmud, Gamara, Hebrew, Musar, etc.
Tikkun Olam and Social Action - Participating in or organizing social justice and community service activities.
Writing - Share your love for words by contributing to our community’s publications, newsletters, and creative projects.
Youth Activities - Engaging with programs and activities specifically for the congregation's youth.
Education (Religious School) - Assisting with or participating in the religious education of children.
Special Skills or Hobbies
Can you:
Lead Prayers
Read Torah/Haftorah
I'm interested in learning!
ADULT 2 DEMOGRAPHIC INFO
Adult 2 Title
Adult 2 First Name
Adult 2 Middle Name
Adult 2 Last Name
Adult 2 Hebrew Name
Adult 2 Informal Name
Adult 2 Date of Birth
Adult 2 Cell Phone
Adult 2 Email Address
Adult 2 Occupation
Is this adult Jewish?
Please Select One
Yes
No
Adult 1 Tribe
Cohen
Levi
Yisrael
None Set
Adult 2 Interests
Adult Learning Opportunities - Engaging in educational programs for adults.
Arts - Creating, painting, sculpting, drawing, mixed media, etc.
Cooking & baking - Helping prepare food for events or participating in culinary activities.
Fiber Arts - Interest in crocheting, sewing, knitting, quilting, or any type of fiber art.
Finance -Assisting with the congregation's financial planning and budgeting.
Endowment Activities - Involvement in long-term financial planning and managing of endowment funds.
Fundraising - Planning and executing fundraising events and campaigns.
Learning Hebrew - Learning how to read and understand Hebrew.
House - Managing repairs, upkeep, and improvements of the synagogue’s physical building.
Grounds - Taking care of the outdoor spaces, including gardening, landscaping, and upkeep of the synagogue’s grounds.
Israel - Organizing or participating in events and discussions focused on Israel and its significance to the community.
Beautification - Enhancing the aesthetic appeal of the synagogue’s interior and exterior spaces.
Membership - Welcoming new members, assisting with membership drives, and helping integrate new members into the community.
Men’s Club - Engage with the men’s group through social, educational, and philanthropic activities.
Performing arts - Participating in or supporting activities such as theater, music, dance, and other live performances.
Physical Activities - Yoga, hiking, walking, dancing, sports, etc.
Publicity and Marketing - Promoting synagogue events and activities through various media and communication channels.
Ritual - Assisting with the planning and execution of religious services and rituals.
Religious Services - Attending and participating in Shabbat and Holiday Services
Sisterhood - Engaging with the women’s group for social, educational, and philanthropic activities.
Special Events- Planning, organizing, and supporting events that bring the community together.
Spiritual Education - Learning how to be a better person through Jewish teachings like Talmud, Gamara, Hebrew, Musar, etc.
Tikkun Olam and Social Action - Participating in or organizing social justice and community service activities.
Writing - Share your love for words by contributing to our community’s publications, newsletters, and creative projects.
Youth Activities - Engaging with programs and activities specifically for the congregation's youth.
Education (Religious School) - Assisting with or participating in the religious education of children.
Special Skills or Hobbies
Can you:
Lead Prayers
Read Torah/Haftorah
I'm interested in learning!
CHILDREN INFORMATION
How many children are in your household?
0
1
2
3
4
Child 1 First Name
Child 1 Last Name
Child 1 Date of Birth
Child 1 Hebrew Name
Child 1 Current School Grade
Please Select One
Pre-K or younger
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Post-College through adulthood
Child 1 Bar/Bat Mitzvah Date
Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth
Child 2 Hebrew Name
Child 2 Current School Grade
Please Select One
Pre-K or younger
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Post-College through adulthood
Child 2 Bar/Bat Mitzvah Date
Child 3 First Name
Child 3 Last Name
Child 3 Date of Birth
Child 3 Hebrew Name
Child 3 Current School Grade
Please Select One
Pre-K or younger
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Post-College through adulthood
Child 3 Bar/Bat Mitzvah Date
Child 4 First Name
Child 4 Last Name
Child 4 Date of Birth
Child 4 Hebrew Name
Child 4 Current School Grade
Please Select One
Pre-K or younger
K
1
2
3
4
5
6
7
8
9
10
11
12
College
Post-College through adulthood
Child 4 Bar/Bat Mitzvah Date
YARZHEIT INFORMATION
Would you like to add yarzheit information for any deceased relatives?
Please Select One
Yes
No/Skip For Now
How many people are you remembering?
Please Select One
1
2
3
4
Deceased 1 Full Name
Deceased 1 Date of Death
Deceased 1 Relationship(s) to Your Household
please describe this person's relationship. ie:
John Smith, father of Meredith Smith
John Smith, grandparent of Maya and Ben Smith
Deceased 2 Full Name
Deceased 2 Date of Death
Deceased 2 Relationship(s) to Your Household
please describe this person's relationship. ie:
John Smith, father of Meredith Smith
John Smith, grandparent of Maya and Ben Smith
Deceased 3 Full Name
Deceased 3 Date of Death
Deceased 3 Relationship(s) to Your Household
please describe this person's relationship. ie:
John Smith, father of Meredith Smith
John Smith, grandparent of Maya and Ben Smith
Deceased 4 Full Name
Deceased 4 Date of Death
Deceased 4 Relationship(s) to Your Household
please describe this person's relationship. ie:
John Smith, father of Meredith Smith
John Smith, grandparent of Maya and Ben Smith
CONGREGATION BETH SHOLOM-CHEVRA SHAS FINANCIAL INFORMATION: FISCAL YEAR 2024-2025
The following information is presented in the interest of providing a clear picture of the financial obligation of membership in our Congregation.
Annual Dues
Dues include all membership rights in the Congregation, including High Holiday services.
Introductory Dues
Introductory Dues are for members who are new to congregation affiliation in the Syracuse area. The following schedule allows new members the opportunity to become acquainted with, and involved in, Congregation life before making a full financial commitment.
Year 1 Family: $150 Single: $100
Year 2 Give from the Heart Annual Dues Plan *
*After your first year of membership, you’ll join our Give from the Heart Dues Plan, which encourages financial contributions based on your gross income and the value you feel from being part of CBS-CS. We suggest a 2% minimum contribution (e.g., 2% of $60,000 = $1,200), but ultimately, the amount is up to you.
This honor system allows members to contribute what’s comfortable for them while helping sustain our vibrant community. Most importantly, no one is denied membership due to financial reasons—every contribution, no matter the size, makes a meaningful difference.
Capital Improvement Fund
The Capital Improvement Fund supports the ongoing maintenance of our building and grounds, beyond the annual operating budget. Over the years, all current members, where financially able, have contributed to this fund, including the original building fund and the expansion fund.
New members are expected to contribute $750 to this fund over a five-year period, starting in the third year of membership:
Year 3: $50
Year 4: $100
Year 5: $150
Year 6: $200
Year 7: $250
*
Pledge Options
Please Select One
Year 1 Introductory Dues Family - $150
Year 1 Introductory Dues Single - $100
Give From The Heart Dues Pledge (Enter Amount)
Please share your contribution for the Give From The Heart Dues Pledge.
*
United Synagogue Dues: $ 75.00
United Synagogue Dues: $ 75.00
Congregation Beth Sholom-Chevra Shas is a member of United Synagogue which provides us with a variety of services and information, including assistance with the Rabbinic Search and national affiliation for our youth groups. United Synagogue mandates this fee.
*
Security Fee: $100
Security Fee: $100
Due to the rise in overt racism and anti-Semitism, security personnel are now a necessary and costly measure alongside our existing physical safeguards during services, school, and major events.
Total
Mon, March 17 2025 17 Adar 5785
