CBI 2020-2021 New Member Application Form

New Member Application Form
We've tried to keep this form as short as possible but we want to get to know you. Thanks for taking the time to complete this application.
Today's date*

MonthDayYear
Date
MyselfMy family
Spouse/partnerChild(ren) [defined as unmarried children who are under the age of 21 and whose permanent residence is the family home]
Your anniversary (if married)

MonthDayYear
Date
How many children in your household?*
Your address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Your second or seasonal address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About You
Your name*

First NameLast Name
Your nickname (if applicable)
Your Hebrew name
Father's Hebrew name (if known)
Mother's Hebrew name (if known)
CohenLeviNot Jewish
Your birthday*

MonthDayYear
Date
Your cell phone*

Area CodePhone Number
Your email*
example@example.com
Adult EducationLou Pollock Memorial CemeteryChesed (CBI's support network)Youth Education ProgramCommunications (marketing, website, etc.)Development/FundraisingFinanceGardening and GreeningHevra Kaddisha (caring for the deceased)HouseMember EngagementSpiritual Life/Ritual (including reading Torah/Haftarah, giving d'var Torah, leading services, scheduling readers and service leaders)Social Action (includes Habitat Interfaith House, Carolina Jews for Justice, Room at the Inn, and more)Very young family activitiesChildren's activitiesTeen activitiesMultigenerational activitiesEmpty Nesters activitiesOther
About Your Spouse or Partner
Your spouse or partner's name*

First NameLast Name
Your spouse or partner's nickname (if applicable)
Your spouse or partner's Hebrew name
Father's Hebrew name (if known)
Mother's Hebrew name (if known)
CohenLeviNot Jewish
Your Spouse or partner's birthday*

MonthDayYear
Date
Your spouse or partner's cell phone*

Area CodePhone Number
Your spouse or partner's email*
example@example.com
Adult EducationLou Pollock Memorial CemeteryChesed (CBI's support network)Youth Education ProgramCommunications (marketing, website, etc.)Development/FundraisingFinanceGardening and GreeningHevra Kaddisha (caring for the deceased)HouseMember EngagementSpiritual Life/Ritual (including reading Torah/Haftarah, giving d'var Torah, leading services, scheduling readers and service leaders)Social Action (includes Habitat Interfaith House, Carolina Jews for Justice, Room at the Inn, and more)Very young family activitiesChildren's activitiesTeen activitiesMultigenerational activitiesEmpty Nesters activitiesOther
Your Child(ren)
Child 1*

First NameLast Name
Child 1 nickname (if applicable)
Child 1 Hebrew name
Child 1 birthday*

MonthDayYear
Date
Child 1 grade in school*
Child 2*

First NameLast Name
Child 2 nickname (if applicable)
Child 2 Hebrew name
Child 2 birthday*

MonthDayYear
Date
Child 2 grade in school*
Child 3*

First NameLast Name
Child 3 nickname (if applicable)
Child 3 Hebrew name
Child 3 birthday*

MonthDayYear
Date
Child 3 grade in school*
Child 4*

First NameLast Name
Child 4 nickname (if applicable)
Child 4 Hebrew name
Child 4 birthday*

MonthDayYear
Date
Child 4 grade in school*
Child 5*

First NameLast Name
Child 5 Hebrew name
Child 5 nickname (if applicable)
Child 5 birthday*

MonthDayYear
Date
Child 5 grade in school*
Child 6*

First NameLast Name
Child 6 nickname (if applicable)
Child 6 Hebrew name
Child 6 birthday*

MonthDayYear
Date
Child 6 grade in school*
Yarzheit Information

If there are loved ones for whom you wish to say kaddish, let us know and we will send you a reminder as the date approaches.
For how many individuals do you observe Yarzheit?
Name of the deceased (1)
Hebrew Name (1)
Relationship
Secular date of death

MonthDayYear
Date
Hebrew date of death (if known)
Before sundownAfter sundownUnknown
Name of the deceased (2)
Hebrew name (2)
Relationship
Secular date of death

MonthDayYear
Date
Hebrew date of death (if known)
Before sundownAfter sundownUnknown
Name of the deceased (3)
Hebrew name (3)
Relationship
Secular date of death

MonthDayYear
Date
Hebrew date of death (if known)
Before sundownAfter sundownUnknown
Name of the deceased (4)
Hebrew name (4)
Relationship
Secular date of death

MonthDayYear
Date
Hebrew date of death (if known)
Before sundownAfter sundownUnknown
Please provide additional Yarzheit information here
Your Story: Past, Present and Future

We would like to know a bit about you! Please share as much as you'd like.
Where are you from?
What took you to Asheville?
What is your work or professional background?
What about your volunteer experience?
Any hobbies or personal interests?
Describe your Jewish journey.
Please share anything else you'd like us to know about you.
Your Partner/Spouse's Story: Past, Present and Future

We would like to know a bit about you and your partner/spouse! Please share as much as you'd like.
Where is your partner/spouse from?
What took you and your partner/spouse to Asheville?
What is your partner/spouse's work or professional background?
What about your partner/spouse's volunteer experience?
Any hobbies or personal interests?
Describe your partner/spouse's Jewish journey.
Please share anything else you'd like us to know about your partner/spouse
Your Family's Story: Past, Present and Future

We would like to know a bit about you and your family! Please share as much as you'd like.
Where are you and your family from?
What took you and your family to Asheville?
What is your (and, if applicable, your partner/spouse's) work or professional background?
What about your (and, if applicable, your partner/spouse's) volunteer experience?
Any hobbies or personal interests?
Describe your and your family's Jewish journey.
Please share anything else you'd like us to know about your family.
Membership Dues and Fees
Fair Share Contribution

We believe everyone should be invested in helping build community, but money should never prevent anyone from feeling part of that community. A Fair Share Contribution ensures that everyone's financial obligation is relative to their means. Under our Fair Share Contribution system, every family and individual is asked to contribute a minimum of 2% of their annual household income. This is a pledge level that members set for themseves based on their capacity to support CBI.

Part-time Residents and Students

If you divide your time between the Asheville area and somewhere else, and you are away from Asheville for more than 6 months, you are welcome to adjust your Fair Share to reflect the time you are away. For full-time students, we ask for a reduced dues contribution of a minimum of $36 per year.

Financial Assistance

For some, the minimum suggested 2% contribution may be too great. In those cases, individuals or families may contribute their time and energy in lieu of, or to supplement, a financial contribution. If you are interested in this option, check the box below and a member of our Financial Assistance Committe will contact you. All discussions are totally confidential.

The table below is intended to help you calculate your minimum suggested dues.
Additional Fees

Annual Kiddush Fee ($90): Our weekly Kiddush lunch after each Shabbat service is a chance for us to schmooze, catch up and enjoy a light meal together. CBI pays for the preparation, setting up, and cleaning up, and we ask members to help share the cost.

Annual Maintenance Fee ($90): This annual fee ensures that our beautiful building is maintained in good condition.

Building Reserve Fund ($950): The Building Reserve Fund exists to cover unexpected and otherwise major building repair and upkeep. This fee is typically paid over up to 6 years and is therefore invoiced separately from Annual Dues and Fees.
Yes
We encourage all who are able, to contribute more than the minimum suggested amount. To calculate your total contribution for 2019-20, please complete the following:
My Fair Share dues contribution for 2020-21*
Total for 2020-21
We respect your privacy. Your dues commitment and payment schedule will be confidentially maintained. Please direct any questions to our treasurer at cbitreasurer@bethisraelnc.org.
Annually, due by July 1, 2020Semi-Annually, due July 1, 2020 and January 1, 2021Quarterly, due July 1 and October 1, 2020 and January 1 and April 1, 2021Monthly, over 10 months, total due by April 30, 2021
Payment due now
I will pay by checkI will pay by PayPal and understand that the amount will be increased by 2.2% plus a $0.30 transaction charge
Please mail your check to:

Congregation Beth Israel

229 Murdock Avenue

Asheville, NC 28804
Payment plus PayPal fee
Pay now

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Thank you. We are pleased to welcome you to the CBI Family!
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New Member Application Form

Membership Dues and Fees