2024-2025 New Partner Application - Form

Temple Adat Elohim - New Partner Application
July 1, 2024 - June 30, 2025

We are thrilled that you are choosing to join our community!

Temple Adat Elohim (TAE) is a welcoming and fulfilling Jewish community embracing those who seek spirituality, knowledge, and a desire to heal the world. Our goal at TAE is to increase each congregant’s love, understanding, and involvement in Jewish life and living.

We strive to build a community that will be there for each other during the highs and lows of life. We have a deeply rooted responsibility to Tikkun Olam to speak about and to address social justice and other issues in the broader community.

Please complete the required fields which are marked with a red asterisk. After this form is processed, someone will contact you to welcome you!

If you need assistance completing this form or have questions, please call the temple office at (805) 497-7101.

* Date you would like to join TAE

* Person completing this form (first and last name)

* Email address (to receive a confirmation)

HOUSEHOLD INFORMATION

Home Phone (optional)
Please skip if you prefer to be reached on your mobile phone.

Mail Name (optional)
Two adult households will be addressed in the following pattern - “Mr. & Mrs. Sam G. Levy.” If you prefer to be addressed differently, please let us know in the space below. Otherwise, leave this section blank

* Residence Street Address
Mail will be sent here unless requested otherwise requested below.

* City

* State

* Zip

Do you have a different billing address?

NoYes

* Billing address

* City

* State

* Zip

* Are you married?

Please Select OneYesNo

Marital Status

Wedding Date

* Were you affiliated to a temple prior to joining TAE?

Please Select OneYesNo

What is the name of synagogue?

What was your last year of affiliation?

* Are you a one adult or two adult household?

Please Select OneOne Adult HouseholdTwo Adult Household

One Adult Household - Adult Information

Two Adult Household - Adult 1 Information

Title

i.e. Miss, Mrs., Mr., Dr.

* First Name

* Last Name

Hebrew Name

* Cell Phone

Business Phone

* Email Address

* Date of Birth

Occupation

* Gender

Please select "N/A or Unknown" if you prefer not to answer.

* How do you identify religiously?

Other, please explain

Did you have a Bar/Bat Mitzvah?

Please Select OneYesNo

Did you have a confirmation?

Please Select OneYesNo

What is your Hebrew fluency?

Please Select OneNoneBeginnerAdvanced

Optional: Anything you would like us to know about you?

Two Adult Household - Adult 2 Information

Title

i.e. Miss, Mrs., Mr., Dr.

* First Name

* Last Name

Hebrew Name

* Cell Phone

Work Phone

* Email Address

* Date of Birth

Occupation

Gender

Please selecy "N/A or Unknown" if you prefer not to answer.

* How do you identify, religiously?

* Other, please explain

Did you have a Bar/Bat Mitzvah?

Please Select OneYesNo

Did you have a confirmation?

Please Select OneYesNo

What is your Hebrew fluency?

Please Select OneNoneBeginnerAdvanced

Anything you would like us to know about you? Optional

CHILDREN (under age 18)

CHILD 1

* Child 1 - First Name

* Last Name

Hebrew Name (optional)

* Secular School Name

* Current Grade

* Date of Birth

CHILD 2

* Child 2 - First Name

* Last Name

Hebrew Name (optional)

* Secular School Name

* Current Grade

Date of Birth

CHILD 3

* Child 3 - First Name

* Last Name

Hebrew Name (optional)

* Secular School Name

* Current Grade

Date of Birth

CHILD 4

* Child 4 - First Name

* Last Name

Hebrew Name (optional)

* Secular School Name

* Current Grade

Date of Birth

CHILD 5

* Child 5 - First Name

* Last Name

Hebrew Name (optional)

* Secular School Name

* Current Grade

Date of Birth

ADULTS CHILDREN (18 years or older)

ADULT CHILD 1

* Adult Child 1 - First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

ADULT CHILD 2

* Adult Child 2 - First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

ADULT CHILD 3

* Adult Child 3 - First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

ADULT CHILD 4

* Adult Child 4 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

ADULT CHILD 5

* Adult Child 5 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

OTHER ADULTS IN YOUR HOUSEHOLD

* Adult 1 First Name

* Last Name

* Age

* Relationship

* Adult 2 First Name

* Last Name

* Age

* Relationship

* Adult 3 First Name

* Last Name

* Age

* Relationship

YAHRZEIT INFORMATION

Please list the names of loved ones for whom you wish Yahrzeit notices sent, and indicate whether you wish to observe the secular or Hebrew date. Annually we will send you a reminder and read the names of loved ones at services.

Select the plus button for each Yahrzeit.

* First Name

* Last Name

* Related to - First name

* Related to - Last name

* Relationship

* Date of Death

* Before sunset?

Optional: Burial Date

* Do you wish to observe the Hebrew or secular date?

Please Select OneHebrewSecular

PARTNERSHIP LEVELS

We are thrilled that you have decided to join our Temple Adat Elohim community! Our partnership (membership) levels provide you with Jewish experiences and social activities that are the cornerstone of our community.  

PARTNERSHIP LEVELS EXPLAINED:
Our various levels have been designed to meet the needs of our congregants.

SUSTAINER: This level represents the actual average cost per family to meet the operational needs of the temple. We hope that all who are able to will comfortably join the temple at this level.

BUILDER: This level is for those in our community who are capable of partnering above the Sustainer level. Joining at this level allows us to provide partnership options below our minimum operational needs. Your generosity helps make our community accessible to those for whom the Sustainer level may not be possible, including young families and seniors.

CONGREGANT & PARTNER: These levels are designed for individuals or families who wish to join the temple but cannot afford the Sustainer or Builder levels. The Partner level is the minimum commitment required to participate in the Religious School.

* Couples who have our clergy officiate their wedding receive a TAE partnership for one year as a gift. Our "Married-By-Clergy" partnership includes High Holy Day Tickets for adults and children in your household (under age 30), weekly Shabbat services, discounted rates for our Early Childhood Center, and access to clergy for spiritual counseling, lifecycle events, etc.

* School tuition for the Gallant-Schiff Infant Center, Early Childhood Center, and Religious School as well as fees for security and facilities are not included in any partnership level.

* All partnership fees are 100% tax deductible to the fullest extent of the law.

* Temple Adat Elohim's fiscal year is July 1, 2024 - June 30, 2025. Billing for this fiscal year will begin on July 1, 2024.

➡️PLEASE REVIEW PARTNERSHIP DETAILS HERE AND THEN SELECT YOUR PARTNERSHIP LEVEL BELOW >>>

YOUR PARTNERSHIP LEVEL

ADDITIONAL FEES

SECURITY FEE

To keep our campus secure, we have professional security guards, cameras, and other safeguards. This fee allows us to continue keeping our campus and community secure. Security fees are not included in partnership dues.

Annual security fees:
• Non-Early Childhood Center families: $575/year
• Early Childhood Center Families: $1,200/year
• Associate Partner: $0/year
• Married-by-Clergy - $0 for the first year

* PLEASE INDICATE YOUR SECURITY FEE:

FACILITIES FEE

In order to help us navigate the rising costs of keeping the temple campus updated and clean, we ask for all temple partners to pay an annual facilities fee of $180.Your $15 per month makes a significant difference.

* FACILITIES FEE AGREEMENT

Please Select OneI agree to pay the facilities fee of $180 per year

SCHOOL TUITION

Our Gallant-Schiff Infant Center, Early Childhood Center, and Religious School are offered at an additional tuition cost and are billed separately. Please contact the Infant Center or Early Childhood Center office at (805) 497-6920 or the Religious School office at (805) 497-0361 for more information.

* SCHOOL TUITION AGREEMENT

Please Select OneI understand that our Gallant-Schiff Infant Center, Early Childhood Center, and Religious School classes are offered at an additional cost. If I am interested, I will contact their offices for more information.

ADDITIONAL INFORMATION (Optional)

How did you hear about Temple Adat Elohim?

If a partner is a friend, please indicate their name:

Are you interested in...

Brotherhood (1st year free)Sisterhood (1st year free)Social Action CommitteeHavurot (friendship circles)

TERMS

* I have read and fully agree to the terms below (please enter your full name):

The undersigned hereby represents, warrants and agrees that (i) he/she has read and understood the content of this Application, (ii) all the information provided to TAE herein is true and correct as of the date hereof, (iii) he/she agrees to be bound by the terms hereof including the payment of the Partnership Commitment and other fees and fees as and when due and payable hereunder, (iv) he/she shall abide by the bylaws, rules and regulations of TAE as they currently exist and/or as they shall be amended or adopted during the term of this membership, (v) that TAE may publish and republish photographs and videos taken of me and my family at any TAE events. Said publication may include TAE’s e-newsletter, website, social media, other publications, and local and national media as it shall determine, and (vi) TAE may include the information on this form in a roster that is distributed only to the TAE community. The undersigned authorize TAE to publish photographs of me and my family for the express purposes consistent with the mission and operations of TAE.

PAPER MAIL
We have gone paperless! Would you like to opt into receiving paper mail?

NoYes

GOT MATCH?
Does your employer offer contribution matching?

NoYes, please contact me

PAYMENT INFORMATION

Below is your estimated annual contribution amount. If you join the temple in the middle of the fiscal year, your annual contribution amount will be prorated. Upon submitting this form someone from accounting will call you to discuss your final total and set up a payment plan with you.

After you select "submit," your information will be sent to the temple. You will not be billed until we discuss your total amount due.

Estimated Annual Dues

Remember to click the SUBMIT button at the bottom of the form to complete this application.