2022-2023 New Partner Application - Form

TEMPLE ADAT ELOHIM NEW PARTNER APPLICATION: 2022-2023*

Welcome to Temple Adat Elohim. We are thrilled you are joining our community!

*If you are a returning partner (member) CLICK HERE to complete the Partner RENEWAL form.

PERSONAL INFORMATION

* JOIN DATE
New fiscal year begins on July 1

* Person completing this form (first and last name)

* Email address (to receive a confirmation)

* How many adults?

Please Select OneOneTwoPlease indicate if you are joining as a one adult household or two adult household.

Adult 1

Title

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

* First Name

* Last Name

Hebrew Name

* Cell Phone

Business Phone

* Email Address

* Date of Birth

Occupation

* Gender

Adult 1 - Religious Background

* How do you identify, religiously?

Other, please explain

* Bar/Bat Mitzvah?

Please Select OneYesNo

* Confirmation?

Please Select OneYesNo

* Hebrew Fluency?

Please Select OneNoneBeginnerAdvanced

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

Adult 2

* Title

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

* First Name

* Last Name

Hebrew Name

* Cell Phone

Work Phone

* Email Address

* Date of Birth

Occupation

* Gender

Adult 2 - Religious Background

* How do you identify, religiously?

* Other, please explain

* Bar/Bat Mitzvah?

Please Select OneYesNo

* Confirmation?

Please Select OneYesNo

* Hebrew Fluency?

Please Select OneNoneBeginnerAdvanced

Anything you would like us to know about you? Optional

HOUSEHOLD INFORMATION

Home Phone

Please address our mail as follows (i.e. Mr. & Mrs. Sam G. Member):

For husband and wife memberships, mail will be addressed to “Mr. & Mrs. Sam G. Member” unless requested otherwise.

* Residence Street Address

Mail will be sent here unless requested otherwise requested below.

* City

* State

* Zip

Billing address (if different than above)

If different - otherwise leave blank

City

State

Zip

* Marital Status

Wedding Date

If applicable. Otherwise, please skip.

Last Synagogue Affiliation

If applicable. Otherwise, please skip.

Last Year of Affiliation

If applicable. Otherwise, please skip.

CHILDREN (under age 18)

* Child 1 First Name

* Child 1 Last Name

Child 1 Hebrew Name

* Child 1 Secular School Name

* Child 1 Current Grade

* Child 1 Date of Birth

* Child 2 First Name

* Child 2 Last Name

Child 2 Hebrew Name

* Child 2 Secular School Name

* Child 2 Current Grade

* Child 2 Date of Birth

* Child 3 Last Name

Child 3 Hebrew Name

* Child 3 First Name

* Child 3 Date of Birth

* Child 3 Secular School Name

* Child 3 Current Grade

* Child 4 First Name

* Child 4 Last Name

Child 4 Hebrew Name

* Child 4 Secular School Name

* Child 4 Current Grade

* Child 4 Date of Birth

* Child 5 First Name

* Child 5 Last Name

Child 5 Hebrew Name

* Child 5 Secular School Name

* Child 5 Current Grade

* Child 5 Date of Birth

ADULTS CHILDREN (18 years or older)

* Adult Child 1 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 2 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 3 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 4 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* 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

* 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

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

Please Select OneHebrewSecular

PARTNERSHIP

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.

The SUSTAINER level is the level that represents the actual average cost per family to meet the operational needs of the temple. It is our hope that all who can comfortably partner at this level will do so.
The BUILDER is the level that represents those in our community who are capable of partnering at a level above the Sustainer level. Joining at this level allows us to provide partnership levels below our minimum need to maintain operations. Your generosity helps make our community available for whom the Sustainer level may not be possible. including young families and seniors.
Below sustainer level you will find the CONGREGANT and PARTNER level. These levels are designed for individuals or families who want to join the temple, but for various reasons, can't join at the sustainer or builder level. Please keep in mind the partner level is the minimum level of commitments to participate in the Religious School.
Couple who have our clergy officiate their wedding receive a TAE partnership for one year as a gift.

Click here to learn more about our partnership levels.
All partnership fees are 100% tax deductible to the fullest extent of the law.

*Infant Center, Early Childhood Center, and Religious School tuition, annual security fees, and building fees (if applicable) are not included in any partnership level.

Temple Adat Elohim's fiscal year is July 1st - June 30th. Billing for this fiscal year will begin on July 1, 2022.

CONGREGANT LEVEL

Young Adult Individual or Family - $275
One young adult under age 35, OR one adult, all children under age 6.
Young Adult Couple or Family - $550
Two young adults under age 35, OR two adults, all children under age 6.
One Adult Household - $1,000
One adult household, no children attending Religious School.
Two Adult Household - $1,600
Two adult household, no children attending Religious School.

Includes High Holy Day Tickets for adults and children in your household (under age 30), access to Religious School Kindergarten, weekly Shabbat services, discounted rates for the Infant Center and Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

Would you like to join at the Congregant Level?

NoYes

Select your commitment category

Please Select OneOne Young Adult Household (under age 35)Two Young Adult Household (both under age 35)One Adult Household - All Children Under Age 6Two Adult Household - All Children Under Age 6One Adult HouseholdTwo Adult Household

PARTNER LEVEL
This is the minimum level of commitment required if you have children in Religious School, 1st through 12th grades.

One Adult Household - $1,600
Two Adult Household - $2,400

Includes all congregant offerings, PLUS 1 youth group membership (up to $36 value), and 2 adult Purim party tickets (up to $72 value).

Would you like to join at the Partner Level?

NoYes

Select your commitment category

Please Select OneOne Adult HouseholdTwo Adult Household

SUSTAINER LEVEL
Joining at this level covers the cost of your household’s involvement.
*Excluding security and building maintenance costs.

One or Two Adult Household - $3,200

Includes all the PARTNER offerings above, PLUS 1 additional youth group membership (up to $36 value), 1 annual gala ticket (up to $150 value), 2 adult Purim party or special Shabbat dinner tickets (up to $72 value), and membership in the TAE Pillar Society (Mentor).

Would you like to join at the Sustainer Level?

NoYes

BUILDER LEVEL
This level is for our philanthropic partners.

One or Two Adult Household - $6,400

Includes all the SUSTAINER offerings above, PLUS up to 2 additional High Holy Day Tickets for extended family (up to $200 value), 1 additional annual gala ticket (up to $150 value), invitation to a donor recognition event, and membership in the TAE Pillar Society (Patron).

Would you like to join at the Builder Level?

NoYes

ASSOCIATE PARTNER
Full dues-paying members of another approved synagogue.

One or Two Household - $750

Associate partnership includes High Holy Day Tickets for adults and children in your household (under age 26), weekly Shabbat services, discounted rates for Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

Would you like to join as an Associate Partner?

NoYes

MARRIED-BY-CLERGY
Couples who had our clergy officiate their wedding.

Couple: $0

Married-By-Clergy partnership includes High Holy Day Tickets for adults and children in your household (under age 26), weekly Shabbat services, discounted rates for Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

Would you like to join as an Married-By-Clergy partner?

NoYes

SECURITY

All levels pay an additional security fee.
The Security Fee helps keep the community safe with security guards and cameras.

* Security Fees

Please Select OneChildren attending the Infant Center or ECCNo children attending the Infant Center or ECCOther

Partners with children attending the ECC - $650
Non-partners with children attending the ECC - $750
Partners without children attending the ECC - $500
Associate Partner - $0

ADDITIONAL INFORMATION (Optional)

How did you hear about Temple Adat Elohim?

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

ADDITIONAL FEES EXPLAINED

BUILDING FEE: By checking the box, you agree to pay the building fee as described below.

A ONE TIME building maintenance fee will be assessed to all TAE partners as follows:
- All levels (except Married-by-Clergy) with no children in Infant Center or ECC: $4800, payable over 6 years.
- All levels (except Married-by-Clergy), age 67 - 90: $1800, payable over 6 years.
- Married-by-Clergy partners will be assessed the building maintenance fee as described above following their first year.

SCHOOL TUITION: By checking the box, you understand that Infant Center, Early Childhood Center, and Religious School classes are offered at an additional cost.

Please contact the schools for tuition information.

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.

PAYMENT INFORMATION

After you select "submit," your information will be sent to the temple. You will be contacted by our accounting department to set up a payment plan.

GOT MATCH? Does your employer offer contribution matching? Double the impact of your contribution. Check the box and we will contact you.

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