2024-2025 New Member Application, v2

ADULTS

	Adult 1	Adult 2
Full Name (Dr., Mr., Mrs., etc.)
Date of Birth
Occupation
Cell Phone
Email
Employer Name
Employer Phone
Relationship to current TEC member?
Hebrew Name
Previous shul, if applicable
Areas of Jewish expertise
Other Jewish organization affiliation, if any

Adult 1, what is the religious tradition in which you were raised?

JewishNon-Jewish
Adult 1, if you were raised non-Jewish, did you convert to Judaism?

YesNo
Adult 2, what is the religious tradition in which you were raised?

JewishNon-Jewish
Adult 2, if you were raised non-Jewish, did you convert to Judaism?

YesNo

CHILDREN

	Child 1	Child 2	Child 3	Child 4
First Name
Middle Name
Surname (if different)
Hebrew Name
Date of Birth
Gender
If Student, Name, Grade & School
Date of B'nai Mitzvah (TBD, if not scheduled)
Name of Spouse (if married)

Is Child 1 enrolled in TEC Preschool?

YesNon/a
Is Child 1 enrolled in TEC Religious School?

YesNon/a
Is Child 2 enrolled in TEC Preschool?

YesNon/a
Is Child 2 enrolled in TEC Religious School?

YesNon/a
Is Child 3 enrolled in TEC Preschool?

YesNon/a
Is Child 3 enrolled in TEC Religious School?

YesNon/a
Is Child 4 enrolled in TEC Preschool?

YesNon/a
Is Child 4 enrolled in TEC Religious School?

YesNon/a
Tell us what motivated you to join our TEC family! Was it friends, social media, advertisements(please specify), were you seeking community, was it our programming/events, or something else?
EMERGENCY CONTACT 1
Name
Phone
Email
example@example.com
Relationship
EMERGENCY CONTACT 2
Name
Phone
Email
example@example.com
Relationship
EMERGENCY CONTACT 3
Name
Phone
Email
example@example.com
Relationship
YAHRZEIT RECORDS

Type a question

INTERESTS
There are many ways of getting involved in life at TEC and volunteering is a great way to start! Maybe you have a special interest or talent that can be helpful to one of the many committees, auxiliaries and departments at TEC. We are always encouraging members to get more involved.

Please review the following list and indicate any areas in which you would like to become involved. This information will be distributed to the appropriate Trustee or Auxiliary who will contact you.

Any questions? Please email our Trustee, Membership at membership@templeetzchaim.org

Please see the below list of potential ways you can further participate in our community. For example:

	Adult 1	Adult 2
Religious School Education Committee
Religious School Events
Preschool / ECE Committee
Preschool / ECE Events
Youth Commission
Youth Events
Purim Carnival
Women of TEC Programming
Gift Shop Volunteer
Mens Club Programming
Mens Club Scholar in Residence
Bingo Calling
Bingo Selling Pull Tabs
Bingo Serving Dinner
Join a Havurah
Membership Committee
Buildings & Grounds Committee
Communications / Social Media Committee
Events & Catering
Fundraising Events
Inclusion Committee
Programming Committee
Religion & Worship
Security Committee
Social Action Committee
Sustainability Committee