Shir Chadash Membership Application - Form - Shir Chadash Conservative Congregation

Membership Application
Shir Chadash Conservative Congregation

David Cohen-Henriquez - Rabbi
Esther Hendler - President

We are pleased you have chosen to join Shir Chadash. To further your involvement in the congregation, we ask you to carefully complete this Membership Application Packet.

As a traditional, egalitarian synagogue, we are committed to the idea that all Jews should be able to fully participate in the beauty of Jewish life. We are a dynamic, inclusive, vibrant congregation, formed in 1999 by the union of Tikvat Shalom and Chevra Thilim. Our membership is infused with the ruach of young people, and we are excited about the continued growth in our synagogue and in the Jewish community of Greater New Orleans.

Please feel free to ask any questions you might have, either about what to do or who we are. We are a community committed to learning, to supporting each other, and to being a warm and welcoming place for all who join us. Welcome to Shir Chadash, and we hope to have you as part of our family!

Please join us for family-friendly Shabbat services, every Friday night at 6:15 pm and Saturday mornings at 9:30 am.

For individual service times and additional information on Shir Chadash visit www.shirchadash.org and www.Facebook.com/ShirChadash or email the synagogue office at shirchadash@shirchadash.org.

David Cohen-Henriquez, Rabbi - rabbidavid@shirchadash.org

Barbara Kaplinsky, Membership Co-Vice President - kaplinskyb@gmail.com

Karen Sher, Membership Co-Vice President - karenandleopold@gmail.com

Member A Information:

Title

* First Name

* Last Name

Nickname

* Home Address

Home Address - Line 2 (if applicable)

* City

* State

* Zip

Home Phone:

Cell Phone:

Date of Birth

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

* Email

Please note that this will be your username to log-in to your Shul Cloud Member portal.

Add this email address to list serve

Occupation

Employer

Work Phone

If married/engaged, wedding date:

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Father's Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Mother's Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

* Religion:

JewishOther

Upload a picture of yourself for your Shul Cloud Member account

* Is there a secondary adult applying for membership?

Member B Information:

First Name

Last Name

Nickname

* Does Member B share the same address as Member A?

Please Select OneYesNo

Address

City

Zip Code

Home Phone:

Cell Phone:

Date of Birth

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

* Email

Please note that this will be their username to log-in to their Shul Cloud Member portal.

Add this email address to list serve

Occupation

Employer

Work Phone

If married/engaged, wedding date:

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Father's Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Mother's Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

* Religion:

JewishOther

Upload a picture of yourself for your Shul Cloud Member account

Children Information:

How many children do you have?

First & Last Name

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Gender

Birthday

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Grade

School

First & Last Name

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Gender

Birthday

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Grade

School

First & Last Name

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Gender

Birthday

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Grade

School

First & Last Name

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Gender

Birthday

Make sure to select the date on the pop-up calendar. If you just write it in, an error message will occur.

Grade

School

Other Information:

Previous Synagogue Affiliation(s):

How did you hear about Shir Chadash Conservative Congregation?

Please share with us why you decided to join Shir Chadash Conservative Congregation:

Are you able to chant Torah or Haftarah? Can you lead a minyan or Shabbat/Festival service? Are there any other synagogue skills you possess?

Please share something interesting about you (and your family):

If you are new to the area, where did you live previously? What brought you to the New Orleans area?

Become Involved!

I am/We are interested in becoming involved with the following committees/groups:
For more information on what each committee does, CLICK HERE.

If Other, please indicate what committee/group you would be interested in being a part of or starting:

As you get settled into our community, we would love to have you become involved in synagogue life. Whether you are interested in leading services, helping to create adult education or social programming or driving an elderly member to Shabbat services, there is a place for you at Shir Chadash. Please share any special skills or interests, whether covered by the above committees/groups or not, that you have that may help us to connect you with the right person to become more involved:

Yahrzeit Information for loved ones:

It is the custom at Shir Chadash to include in our weekly Shabbat handout the names of loved ones who are no longer with us on the anniversary of their passing. You will receive a letter before the Yahrzeit date of the appropriate date to light a Yahrzeit candle. Please contact the office if you wish to purchase a plaque on our Memorial Board.

Please indicate how many yahrzeits you'd like to enter:

Name of Deceased

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Relationship and to whom

English Date of Passing

Hebrew Date of Passing

Name of Deceased

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Relationship and to whom

English Date of Passing

Hebrew Date of Passing

Name of Deceased

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Relationship and to whom

English Date of Passing

Hebrew Date of Passing

Name of Deceased

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Relationship and to whom

English Date of Passing

Hebrew Date of Passing

Name of Deceased

Hebrew Name

Feel free to write out English transliteration or use the pop-up Hebrew keyboard to write out in Hebrew.

Relationship and to whom

English Date of Passing

Hebrew Date of Passing

Please write out all pertinent information for further yahrzeits you would like to keep on record and observe:

MEMBERSHIP AGREEMENT AND DUES STRUCTURE

We are so glad that you are on your way to becoming a member of Shir Chadash this coming year!

Our dues are based on annual gross family income – that means, the combined income for the family unit. Please select the appropriate number to calculate your payment.

There are some additional costs that make up the total contribution. We assess a little extra, based on your membership category, for the United Synagogue of Conservative Judaism membership. Also included in the dues is payment for the BIMA (Building Improvement Maintenance Assessment) fund that ensures a safe and well-maintained building.

This year we introduced a higher level of giving to ensure the sustainability of Shir Chadash. These categories are termed Bronze, Silver, and Gold. If you are able, we would appreciate your additional contribution.

If your fees need adjusting, please do not hesitate to contact our office or Financial Secretary Art Lustig. We will always try to help.

Category	Annual Gross Family Income	Annual Dues Total
A	Under $30,000	$630.00
B	$30,001-$50,000	$1,025.00
C	$50,001-$75,000	$1,500.00
D	$75,001-$100,000	$2,090.00
E	$100,001-$140,000	$2,680.00
Bronze	$100,001-$140,000	$3,000.00
F	$140,001-$200,000	$3,630.00
Silver	$140,001-$200,000	$4,000.00
G	Over $200,000	$4,800.00
Gold	Over $200,000	$5,500.00
Associate	N/A	$530.00
Non-Resident Associate	N/A	$475.00

* If applying for Associate Membership, the applicant must be a Full Member of another synagogue that is the applicant's primary synagogue.

* I am also a full member of the following synagogue that is my primary synagogue:

Your membership is very important to us. If obstacles are hindering your ability to pay in the category selected above, please check the box below so that we can look into possible assistance options.

I wish to discuss my annual dues with the Shul Office

Please sign below and submit, and we welcome you to Shir Chadash!

Membership Agreement
I (we) hereby apply for membership in Shir Chadash, a Conservative Congregation affiliated with the United Synagogue of Conservative Judaism. I (we) agree to comply with all of its rules and regulations including its Articles of Incorporation, By-laws and the financial obligations of membership, and understand that in so doing, I (we) will be entitled to all of the rights and privileges of a member in good standing for the membership level for which I (we) have applied.

* Member A Electronic Signature:

Member B Electronic Signature:

This Application will be submitted to the synagogue office. Please send a check for your first installment of dues or contact the office to arrange monthly payments via credit card or ACH. All checks should be made payable to Shir Chadash Conservative Congregation. Thank you!