Membership Form

Thank you for your interest in becoming a member of Temple Sinai! Everyone is welcome, Jews, mixed families, those interested in Judaism, skeptics, and believers. We celebrate life-cycle events with family and friends; come together to support one another in times of crisis; rally together to help others in need; bring friends together and meet new ones. We share the belief that Vermont and the greater Burlington area are better when we have a vibrant progressive synagogue.

New Member Application

We're excited you have chosen to join Temple Sinai and look forward to having you be a part of our community.

Membership Categories

There are 4 basic dues categories:

Individual
~ A household consisting of one adult who is Jewish or seeking the Jewish faith, who does not have children under the age of 25.

Family
~ A household consisting of two adults who are Jewish or seeking the Jewish faith, who have one or more children enrolled in Religious School or children under the age of 25, OR

~ A household consisting of two adults who are Jewish or are seeking the Jewish faith, who do not have children enrolled in Religious School or children under the age of 25, OR

Family-One Adult Head of Household (OAHoH)
~ A household consisting of one adult who is Jewish or seeking the Jewish faith, who has one or more children enrolled in Religious School or children under the age of 25, OR
~ A household consisting of one Jewish adult and one non-Jewish adult, who do not have children enrolled in Religious School or children under the age of 25.

Associate
~ An individual or household who is Jewish or seeking the Jewish faith that holds full membership with another Temple/Synagogue,
OR
~ An individual or household who is Jewish or seeking the Jewish faith that lives outside of the state of Vermont for 6 or more months per year.

*** Please note that we do offer a Complimentary Membership to those 30 and under. Please select the category that best reflects you and/or your family, but no dues will be billed. ***

Please select the category in which you fall according to the definitions listed above.

Membership Category

Applicant One

First Name

Last Name

Gender Pronouns

Hebrew Name

Phone

(###)

###

####

Occupation

Date of Birth

YYYY

Applicant Two

First Name

Last Name

Gender Pronouns

Hebrew Name

Phone

(###)

###

####

Occupation

Date of Birth

YYYY

Anniversary Date (If Married)

YYYY

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Alternate Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First Child's Name

First Name

Last Name

Hebrew Name 1st Child

Date of Birth

YYYY

Second Child's Name

First Name

Last Name

Hebrew Name 2nd Child

Date of Birth

YYYY

Third Child's Name

First Name

Last Name

Hebrew Name 3rd Child

Date of Birth

YYYY

Yahrzeits I/We wish to observe the following Yahrzeit:

Name of Loved One

First Name

Last Name

Gregorian Date of Death

YYYY

On which date would you like them observed?

Relationship of

Applicant 1

Applicant 2

Relationship

Name of Second Loved One

First Name

Last Name

Gregorian Date of Death

YYYY

On which date would you like them observed?

Relationship of:

Applicant 1

Applicant 2

Relationship:

How did you hear about Temple Sinai?

What factors prompted your decision to join Temple Sinai?

Do you have any skills or talents that you would like to share with the Temple Sinai Community?

Any additional information or questions?

I agree to be listed in our membership directory

Yes

Name

First Name

Last Name

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