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Membership Application




                    New Member Application

 
 

Welcome! By filling in this form as fully as possible, you will help us serve your needs to the best of our ability. If you have any questions, please email info@templeshalom.net or call (301) 587-2273.  Thank you!



 

   FAMILY INFORMATION   



   ADULT MEMBER 1 INFORMATION  

if applicable

if applicable








   ADDITONAL ADULT   

   ADULT MEMBER 2 INFORMATION 

if applicable

if applicable








   CHILD INFORMATION   

   CHILD 1 INFORMATION   

if applicable
if applicable
if applicable
if applicable

if applicable


   CHILD 2 INFORMATION   

if applicable
if applicable
if applicable
if applicable

if applicable


   CHILD 3 INFORMATION   

if applicable
if applicable
if applicable
if applicable

if applicable


   CHILD 4 INFORMATION   

if applicable
if applicable
if applicable
if applicable

if applicable


   YAHRZEIT INFORMATION   

Should you desire to be notified of the anniversary of the death of a loved one, please indicate whether you prefer to observe the English or Hebrew calendar date. If you do not recall the Hebrew date, please check “Hebrew date of death” and give the full English date and time.








   New Members - Gift of Membership Program   


Temple Shalom makes joining easy by removing Membership Dues as a major financial hurdle from coming in and trying us out for an extended period. As a new member, you will not pay Membership Dues from April 1 of the prior year through June 30 of the following year.   Learn more about our Gift of Membership program on our website.  Note that the Gift of Membership program does not waive Religious School/Hebrew School tuition or life-cycle event fees.  

Welcome to your new Jewish home.  We look forward to helping you enjoy all that Temple Shalom has to offer.


Fair Share Dues - Second Year of Membership and Beyond   


Following the year of the Gift of Membership program, you will be asked to pay dues. Temple Shalom’s programs and operation are supported by its members, and our dues are based on a “fair share” system. Temple Shalom’s budgeted annual operating costs average approximately $3,700 per member unit. We understand that not all members can contribute at or above that level, and many do not. We do ask that, if possible, members follow the commitment level suggested below.

The recommended annual dues are a percentage of your family’s adjusted gross family income – calculated as follows:

Annual Dues Contribution = Adjusted Gross Income x Percentage

The percentage varies based on adjusted gross income, shown in the table below. Temple Shalom does not ask members to disclose their family income, and dues information is kept confidential.  To assure that each family’s commitment reflects its current financial circumstances, each family is requested to review its commitment annually.  Temple Shalom does not require members to contribute to a building fund.

Temple Shalom will not turn away members for financial reasons. Next year, please feel free to contact our Financial Secretary at financialsec@templeshalom.net or the Temple Office if dues adjustments are needed.





Fri, September 30 2022 5 Tishrei 5783