Membership Application

TBE Membership Application

Step 1 of 5

Contact Information
Name(s) for Temple mailings.*
Mailing Address:*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone:*
Adult 1 Cell Phone:
Adult 2 Cell Phone:
Fax #:
Adult 1 Email:*
Adult 2 Email:
Emergency contact name*
First Last
Emergency Contact Phone #:*
Dependent Information
Number of Children in Family*
- None
- One
- Two
- Three
- Four
Child 1 Name*
First Last
Child 1 Nickname
Child 1 Hebrew Name
Child 1 Date of Birth*
MM slash DD slash YYYY
Child 1 Grade
Child 1 Secular School
Child 1 College Name
Child 2 Name*
First Last
Child 2 Nickname
Child 2 Hebrew Name
Child 2 Date of Birth*
MM slash DD slash YYYY
Child 2 Grade
Child 2 Secular School
Child 2 College Name
Child 3 Name*
First Last
Child 3 Nickname
Child 3 Hebrew Name
Child 3 Date of Birth*
MM slash DD slash YYYY
Child 3 Grade
Child 3 Secular School
Child 3 College Name
Child 4 Name*
First Last
Child 4 Nickname
Child 4 Hebrew Name
Child 4 Date of Birth*
MM slash DD slash YYYY
Child 4 Grade
Child 4 Secular School
Child 4 College Name

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Business Information
Adult 1 Occupation*
Adult 1 Company Name
Adult 1 Position/Title
Adult 1 Specialization
Adult 1 Business Address
Adult 1 Business Phone
Adult 2 Occupation*
Adult 2 Company Name
Adult 2 Position/Title
Adult 2 Specialization
Adult 2 Business Address
Adult 2 Business Phone
Yahrzeit Information
Please list the names of those who have died and for whom you wish Yahrzeit recited. Those people will be memorialized at the Shabbat services prior to the anniversary date according to either the Jewish or secular calendar. Names should be limited to immediate family (parents, grandparents, children, siblings, etc.). We observe Yahrzeits from Sunday through Saturday, reading on Friday evening.
Yahrzeit 1 Name
Yahrzeit 1 Relationship
Secular date of death:
MM slash DD slash YYYY
Hebrew date of death
I (we) observe
- Secular date
- Hebrew date
Yahrzeit 2 Name
Yahrzeit 2 Relationship
Secular date of death:
MM slash DD slash YYYY
Hebrew date of death
I (we) observe
- Secular date
- Hebrew date
Yahrzeit 3 Name
Yahrzeit 3 Relationship
Secular date of death:
MM slash DD slash YYYY
Hebrew date of death
I (we) observe
- Secular date
- Hebrew date
Yahrzeit 4 Name
Yahrzeit 4 Relationship
Secular date of death:
MM slash DD slash YYYY
Hebrew date of death
I (we) observe
- Secular date
- Hebrew date

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Annual Dues Proposal
Applicant's Name*
Co-Applicant's Name
Temple Beth El’s fiscal year begins July 1 and ends June 30. Dues will be prorated as the year progresses. Our community uses a Fair Share Dues Commitment system, suggesting 2% of your gross annual household income. You can be assured that you will never be asked to reveal your income. However, it is important to understand a Fair Share Dues Commitment system is based on the honor system and each member is asked to act in accordance with what he or she knows “is the right thing to do.” For this fiscal year, it will cost the Temple Beth El an average of $2,100 per membership unit to meet Temple’s operating budget.

We believe no one should be denied the opportunity to experience Jewish community for financial reasons. Please contact Temple Beth El’s Financial Secretary, Amir Sadovnik, at FinancialSecretary@tbeknox.org, with any questions or concerns.

If you are an active member of Heska Amuna or the Jewish Congregation Oak Ridge and are interested in a dual secondary membership at Temple Beth El, the minimum dues amount is $500.00 per family. You must be a member in good standing at your primary synagogue to be eligible for the reduced dual secondary membership minimum.
Type of Membership*
- Primary Membership
- Dual Membership
Proposed dues for Current Year*
Amount for Dues Deposit*
Please enter a number greater than or equal to 125.
(Initial 25% of dues deposit required.)
Payment Method*
- Pay Deposit Online
- Pay Deposit Through TBE Office by Check or Credit Card
Online Payment
Price: $0.00
I (We) hereby submit application for membership in Temple Beth El. Upon acceptance, I (We) agree to support the Temple and its Reform Community and abide by its constitution, by-laws, rules ad regulations. I (We) understand that acceptance of this membership is subject to the approval of the Board of Directors.
Adult 1 Signature*
Adult 1 Date:*
MM slash DD slash YYYY
Adult 2 Signature*
Adult 2 Date:*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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TBE Membership Application

Step 1 of 5

End of personal Information for Adult 1

Contact Information

Dependent Information

Business Information

Yahrzeit Information

CONTACT INFO

SHABBAT TIMES

DIRECTIONS

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