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Shir Chadash Membership Application
Please verify reCaptcha before submitting the form.
M
embership
A
pplication
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
Please Select One
Mr.
Mrs.
Ms.
Miss
Mx.
Dr.
*
First Name
*
Last Name
Nickname
*
Home Address
Home Address - Line 2 (if applicable)
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
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
Add this email address to list serve
Occupation
Employer
Work Phone
Marital Status
Married
Single
Engaged
Divorced
Widowed
Partnered
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:
Jewish
Other
Upload a picture of yourself for your Shul Cloud Member account
*
Is there a secondary adult applying for membership?
Please Select One
No
Yes
Member B Information:
First Name
Last Name
Nickname
*
Does Member B share the same address as Member A?
Please Select One
Yes
No
Address
City
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Add this email address to list serve
Occupation
Employer
Work Phone
Marital Status
Married
Single
Engaged
Divorced
Widowed
Partnered
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:
Jewish
Other
Upload a picture of yourself for your Shul Cloud Member account
Children Information:
How many children do you have?
0
1
2
3
4
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
N/A or Unknown
Male
Female
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
N/A or Unknown
Male
Female
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
N/A or Unknown
Male
Female
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
N/A or Unknown
Male
Female
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
.
Member A Interests:
Caring Committee
Education Committee
Fundraising Committee
Membership Committee
Men's Club
Programming Committee
Publicity & Public Relations Committee
Ritual Committee
Sisterhood
Tzedek (Social Action) Committee
Other
Member B Interests:
Caring Committee
Education Committee
Fundraising Committee
Membership Committee
Men's Club
Programming Committee
Publicity & Public Relations Committee
Ritual Committee
Sisterhood
Tzedek (Social Action) Committee
Other
If Other, please indicate what committee/group you would be interested in being a part of or starting:
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:
0
1
2
3
4
5
6+
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.
Please Select One
Category A
Category B
Category C
Category D
Category E
Bronze
Category F
Silver
Category G
Gold
Associate*
Non-Resident**
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 Member
N/A
$530.00
Non-Resident
N/A
$475.00
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
I wish to discuss my annual dues with the Shul Office
* If applying for Associate Membership, the applicant must be a Full Member of another New Orleans area synagogue.
** If applying for Non-Resident Membership, the applicant must reside outside of the Greater New Orleans area.
*
I am also a full member of the following area synagogue:
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!
Sun, September 1 2024 28 Av 5784