Membership Application-Full Version - Form

Whether you have been connected to CBI for years or are new, we are delighted to have you join us as a member. To join Congregation B'nai Israel please complete this application.

As a member of Congregation B’nai Israel, you will be a part of a progressive, egalitarian, congregation associated with the conservative movement.. As a member you will have a personal relationship with the rabbis, staff, and other members of the community.

BENEFITS OF MEMBERSHIP INCLUDE:

Life Cycle Events
You will be part of a caring community when you experience a life cycle events such as a Brit-milah and Brit bat (baby-naming) ceremony, Bar/Bat Mitzvah, marriage ceremony, shiva and funeral services. CBI membership provides you with cemetery privileges in our Jewish and Interfaith cemeteries.

Worship and Holiday Services
Your membership helps support the High Holiday services, weekly Shabbat Services, and special Chanukah, Purim, Pesach, Shavuot and other holiday services and celebrations during the year. All of these services are free with your membership, including free ticket(s) to High Holiday services.

Reciprocity
Members are eligible for reciprocity with participating synagogues for High Holiday tickets.

Adult Education
Membership pays for adult education classes, Sunday cafés with guest presenters, lecture series, and Shabbat luncheon programs. Members can participate in other adult experiences such as informal spirituality groups, havurahsmall community gatherings, dance programs, and presentations during senior luncheons.

Religious School
Members may enroll their children in (ALMA) religious school and membership helps support the education of our youth in providing subsidies to the school.

Voice in Shaping the Congregation
Members may serve on the Board, vote in elections and referenda, and serve on committees. A full list of Committees and opportunities for involvement are listed on the application form.

Ownership and Use of the Building
As a member you become part owner of the building that is a spiritual home, an event center, a kosher kitchen, a sanctuary (safe place for you and others), and a place to schmooze. Members have first priority for the use of meeting space, and special rates for rental of the social hall and kitchen.

Availability of Clergy
Members get first priority for a call on our Rabbi for pastoral counseling, hospital visitations, and similar needs

For more information about Membership types and fees, please click here.

Please select one about your interest in membership.

Please Select OneI would like to discuss membership with a CBI Staff person.I would like to be join as a member now.

* Number of Adult Joining as Members

Please Select One1 Adult2 Adults

* Primary Applicant First Name

* Primary Applicant Last Name

Preferred Name or Nickname

Date of Birth

Pronouns

Hebrew Name

Ben/Bat

* Address Line 1

Address Line 2

* City

* State

* Zip Code

Home Phone

Mobile Phone

Work Phone

Occupation

Company/Work Name

Marital Status

If married, anniversary date.

Previous Synagogue Affiliation (if any)

Concurrent Synagogue Affiliation (if any)

I understand my name and contact information will be added to the online member directory. I also understand I can update or remove that information by signing into my online account.

Partner or Spouse First Name (if applicable)

Partner or Spouse Last Name (if applicable)

Preferred Name or Nickname

Date of Birth

Pronouns

Hebrew Name

Ben/Bat

Address Line 1

Address Line 2

City

State

Zip Code

Partner or Spouse Mobile Phone

Partner or Spouse Email

Occupation

Company/Work Name

Spouse or Partner Work Phone

Previous Synagogue Affiliation (if any)

Concurrent Synagogue Affiliation (if any)

I understand my partner/spouse's name and contact information will be added to the online member directory. I also understand I can update or remove that information by signing into my online account.

Is your family an interfaith family?

How did you hear about Congregation B'nai Israel?

Referred by someoneNewspaper/AdsWebsite/FacebookOther social media

How long have you been in this area?

If applicable, where did you move from?

Child 1 First Name

Child 1 Last Name

Preferred Name/Nickname

Birthday

Hebrew Name

Pronouns

Child 1 Email

Is child living at the main address?

yesno

If no, indicate the address where the child lives.

Name of School

Current Grade

Are you interested in enrolling your child in ALMA (religious school)?

yesno

Child 2 First Name

Child 2 Last Name

Preferred Name/Nickname-Child 2

Birthday-Child 2

Hebrew Name-Child 2

Pronouns-Child 2

Child 2 Email (if applicable)

Is child living at the main address?

yesno

If no, indicate the address where the child lives.

Child 3 First Name

Child 3 Last Name

Preferred Name/Nickname-Child 3

Birthday-Child 3

Hebrew Name-Child 3

Pronouns-Child 3

Child 3 Email (if applicable)

Is child living at the main address?

yesno

If no, indicate the address where the child lives.

Child 4 First Name

Child 4 Last Name

Preferred Name/Nickname-Child 4

Birthday-Child 4

Hebrew Name-Child 4

Pronouns-Child 4

Child 4 Email (if applicable)

Is child living at the main address?

yesno

If no, indicate the address where the child lives.

If you have additional children, please list their information here.

Yahrzeit Information

It is custom of the congregation to read the names of loved ones who are no longer with us on the anniversary of their passing. You will be notified via mail from the CBI Office of the Hebrew date of your loved one’s death unless you specify the English/Gregorian date.

Do you wish to submit yahrzeit names and receive notices of the anniversary of their passing?

Please Select Oneyesno

Yahrzeit 1 First Name

Yahrzeit 1 Last Name

Yahrzeit 1 Relationship to Applicant

Yahrzeit 1 Date of Passing

Time of Passing

Before sundownAfter sundown

Yahrzeit 2 First Name

Yahrzeit 2 Last Name

Yahrzeit 2 Relationship to Applicant

Yahrzeit 2 Date of Passing

Time of Passing

Before sundownAfter sundown

Yahrzeit 3 First Name

Yahrzeit 3 Last Name

Yahrzeit 3 Relationship to Applicant

Yahrzeit 3 Date of Passing

Time of Passing

Before sundownAfter sundown

If you wish to submit additional yahrzeit names and dates, please type in the details here. Please include the secular (English) date of death.

I (we) are interested in receiving information about the following programs:

Abundance FarmAdult EducationFamily Programs (Celebratory gatherings during Jewish holiday seasons)Gan Keshet PreschoolShabbat Shabloom (monthly musical program for young children and their families)Teen LifeTikkun Olam (social justice)Valley Jewish Senior Luncheons (monthly luncheons with guest speakers)

Please write any special talents, interests or ideas you wish to share with us to better serve the congregation:

Please select a membership level from the two options below:

I (We), would like to join at the membership level selected below

I (We) would like to pay the amount noted below:

Please submit your application after signing below and complete the payment section of this application.

Signature

Date