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New Member Application
Please verify reCaptcha before submitting the form.
*
Adult #1 First Name
*
Adult #1 Last Name
*
Birthdate
*
Address Line 1
Address Line 2
*
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
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Zip Code
Home Phone Number
Each year we publish a congregational directory that is strictly for use by our members. We will include your name, address, and home phone number automatically. If you would like us to also include the email address and cell phone number for each adult in your family, please check the appropriate box next to that information below.
ADULT # 1
Cell Phone Number
*
Email
*
Yes, it is okay to include the following information in the directory:
Email Address
Cell Phone Number
Occupation
Employer
*
Religion
Please Select One
Jewish
NonJewish
Tribe if Known
Cohen
Levi
Yisrael
None Set
Hebrew First Name
Mother's Hebrew Name
Father's Hebrew Name
Previous Synagogue Affiliation
City, State
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Are you joining with a second adult?
Please Select One
No
Yes
ADULT #2
*
First Name
*
Last Name
Birthdate
*
Cell Phone Number
*
Email Address:
Yes, it is okay to include the following information in the directory:
Email Address
Cell Phone Number
Religion
NonJewish
Jewish
Tribe if Known
Cohen
Levi
Yisrael
None Set
Hebrew First Name
Mother's Hebrew Name
Father's Hebrew Name
Occupation
Employer
*
Do you have children?
Please Select One
No
Yes
Child's First Name
Child's Last Name
Date of Birth
Do you have a second child?
No
Yes
Child's First Name
Child's Last Name
Date of Birth
Do you have a third child?
No
Yes
Child's First Name
Child's Last Name
Date of Birth
Ohev Shalom offers opportunities for religious fulfillment as well as opportunities to develop social and personal relationships. We are committed to meeting the varied needs of our members and our community. As a new member you will be contacted to discuss your needs and interests.
What do you (and your family) want to gain from becoming a member of the Ohev Shalom community? Do you have any skills or passions that you would like to share with the community?
Financial Commitment
All first-time members are given free dues for one year.
Each member of our congregation supports the activities of our synagogue in accordance with his/ her ability to pay. Dues are based upon the individual or family's gross income. All members receive the same privileges of membership regardless of dues category. The philosophy of Ohev Shalom is to welcome all members of our congregation regardless of their ability to pay. In cases of financial hardship, adjustments can be arranged by written application made to the Dues Adjustment Committee. All communications regarding dues are strictly confidential.
Less than $25,000...............$ 376.00
$26-$45,000........................$1,125.00
$46-$75,000........................$1,495.00
$76-$110,000......................$2,036.00
$111-$150,000....................$2,425.00
Over $150,000....................$3,055.00
YA Family...........................$ 600.00
YA Single............................$ 400.00
Chaver*..............................$ 550.00
Discounts
Kehillah Discount (families with at least one child enrolled in Kehillah Early Learning Center receive a 10% discount on dues amount - does not apply to Young Member or Chaver)
Young Member Rate ( oldest adult less than 36 years old on July 1 of current year)
$400 for singles regardless of income category
$600 for a family regardless of income category
Chaver Membership $550. If you live outside our area of service (50 miles) or belong to another congregation.
Discount Categories Choose one if applicable
Choose one below if you are eligible
Kehillah Discount (families with at least one child enrolled in Kehillah Early Learning Center receive a 10% discount on dues amount - does not apply to Young Member or Chaver)
Single Young Member Rate
Family Young Member Rate
Chaver Membership
Name of current congregation
BUILDING FUND/RESTORATION FUND
In order to maintain our beautiful building and grounds, each new member is required to make a building fund pledge in the amount of $750.00. This may be paid in installments over a 4 to 5 year period. As a new member, you may choose to start this immediately or defer this until your second year.
After their building fund pledge is completed, all members of the congregation then contribute to a building improvement/ preservation fund This annual contribution is $ 72.00 for a single adult and $100.00 maximum per family.
*
Please indicate your payment choice for the Building Fund Pledge.
Please Select One
Annual Payments of $150 for 5 years (begins this year)
Annual Payments of $187.50 for 4 years (begins in 2nd year)
SECURITY FEE:
Leadership has taken significant steps to protect our congregation with the latest action step of retaining an
armed security guard for Shabbat services and when our children are attending Hebrew School. Your dues
invoice will reflect a security fee (4% of your dues) that was authorized by Board of Directors to support this
initiative.
SCRIP COMMITMENT FEES:
Many years ago, Ohev Shalom’s Board of Directors instituted an assessment in lieu of raising dues at that time. They gave members two options: 1) Pay the assessment. 2) Earn credit to reduce the assessment by
purchasing scrip (also known as gift cards). The current assessment is $30 for an individual and $60 for a
family. If you choose to participate in the scrip program, and we hope you do, you will be able to eliminate the scrip fee just by purchasing $1,000 worth of gift cards for a single person or $2,000 for a family. Three percent (3%) of your purchases will be credited towards your account. This is at absolutely no cost to you. If you purchase a $100 gift card, that card is good for $100 to spend at that store. Ohev receives a small cash contribution from the vendor that can be as much as 10% or more. You can purchase scrip from the office or, for a wider choice of stores, go to
www.raiseright.com
and purchase scrip electronically. Call the office if you have questions or if you need help getting started. However, if you have some valid reason for not participating in the program, please contact the synagogue office. Your explanation will be carefully considered.
OPTIONAL FEES:
MEN'S CLUB:
Dues goes towards funding the activities of the group. Participation is voluntary.
FRIENDS OF THE SEMINARY:
The members of all United Synagogue congregations are urged to participate in a voluntary contribution in support of the
Jewish Theological Seminary of America
. The Seminary, located in New York City, is the training ground for Conservative Rabbis and Cantors who serve the Jewish community throughout the world. It also trains Jewish educators, with Masters and Ph.D. programs as well as undergraduate program, List College of Jewish Studies, which offers joint degrees with either Barnard College or Columbia University. The highly successful Camp Ramah program is run by the Seminary.
Each member is encouraged to contribute $18.00 per year.
Your monthly statement will reflect your participation in this program.
Fri, April 19 2024 11 Nisan 5784
