2020-21 New Member Form

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Shalom,

Thank you for your interest in our congregation. We are eager to welcome you to our community.

This prospective congregant packet contains information about Netivot Shalom and the many opportunities for Jewish learning, ritual, and practice that are available to members. We hope this material will be useful for you in making your decision about joining our congregation.

If you have questions about our community and how to join, please contact our Administrator Vered Cohen at administrator@netivotshalom.org.

Shalom and welcome to Congregation Netivot Shalom!

I’m thrilled that you’re considering joining our community. I look forward to sharing the

beauty of Jewish life with you. There are so many ways to get involved; whether you’re

interested in Jewish study, ritual, social action, or simply being part of an extended Jewish

family, we warmly welcome you!

In these difficult times of sheltering in place, we need community and connection more than ever. Even as the coronavirus pandemic has necessitated social distancing measures, Netivot Shalom is staying strongly connected through a variety of online services, classes, social gatherings, holiday celebrations and opportunities to care for each other and for our wider community. We’ve heard from our members how much our community has been a lifeline for them in these challenging times.

Netivot Shalom’s unique strength lies in our participatory ethos. We continue to live by our

founding principles of participatory, egalitarian Judaism, where our members are

empowered to take ownership over their Jewish lives and experiences and to create the

community they desire for themselves. As rabbi, I serve to guide our community’s vision and

direction so that our members can come together in shared purpose. It is also my privilege,

as rabbi, to guide our members through life’s transitions and celebrations, whether it’s birth

or death, illness or healing, b’nei mitzvah or wedding, and everything in between.

I look forward to getting to know you and to helping you find your place in our wonderful

community. Wherever you might be on your Jewish journey, it is my hope that Netivot

Shalom will be a warm home for you to deepen your Jewish life and to connect to others in
community.
Rabbi Chai Levy

* We/I wish to join Netivot Shalom as a:

*Young Adult(s) (head or heads of household not yet age 30 on Erev Rosh Hashanah)
**Full-Time Student (graduate or undergraduate)
***Associate membership (member of another synagogue).
****Out-of-Town member (must be a member of a shul outside the nine-county Bay Area)

Children refers to children still living at home (when not away for school), who will not yet have achieved the age of 25 by Erev Rosh Hashanah of the current year (September 18, 2020). For special membership situations (such as disabled, unemployed, family members over age 25 living in the household, etc), or any other questions, please contact Administrator Vered Cohen, administrator@netivotshalom.org

* Adult 1 - First Name

* Adult 1 - Last Name

Adult 1 - Hebrew Name

Adult 1 bat/ben

* Adult 1 - Birthday

* Adult 1 - After sunset?

yes/no

Adult 1 - Occupation

Adult 1 - Work Phone

Adult 1 - Home Phone

* Adult 1 - Cell Phone

* Adult 1 - Email

* Adult 1 - Home Address

* Adult 1 - City

* Adult 1 - State

* Adult 1 - Zip Code

Adult 2 - First Name

Adult 2 - Last Name

Adult 2 - Hebrew Name

Adult 2 - bat/ben

Adult 2 - Birthday

Adult 2 - After sunset?

yes/no

Adult 2 - Occupation

Adult 2 - Work Phone

Adult 2 - Cell Phone

Adult 2 - Email

Adult 2 - Anniversary Date if applicable

* PLEASE NOTE Names of family members, the family home address, phone numbers, and e-mail addresses on this form will be included in the Netivot Shalom membership roster unless you request otherwise

Items to Omit from the Membership Directory:

* How many children live at home?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Hebrew Name

Child 1 - bat/ben

Child 1 - Date of Birth

Child 1 - After sunset?

Child 1 - Bar/Bat Mitzvah date

Child 1 - Phone Number

Child 1 - Grade in School

Child 1 - Name of School or University Attending/Attended

Child 1 - Occupation

Child 1 - Email

* Child 2 - First Name

Child 2 - Last Name

Child 2 - Hebrew Name

Child 2 - bat/ben

Child 2 - Date of Birth

Child 2 - After sunset?

Child 2 - Bar/Bat Mitzvah date

Child 2 - Phone Number

Child 2 - Grade in School

Child 2 - Name of School or University Attending/Attended

Child 2 - Occupation

Child 2 - Email

Child 3 - First Name

* Child 3 - Last Name

Child 3 - Hebrew Name

Child 3 - bat/ben

Child 3 - Date of Birth

Child 3 - After sunset?

Child 3 - Bar/Bat Mitzvah date

Child 3 - Phone Number

Child 3- Grade in School

Child 3 - Name of School or University Attending/Attended

Child 3 - Occupation

Child 3 - Email

Child 4 - First Name

Child 4 - Last Name

Child 4 - Hebrew Name

Child 4 - bat/ben

Child 1- Date of Birth

Child 4 - After sunset?

Child 4 - Bar/Bat Mitzvah date

Child 4 - Phone Number

Child 4- Grade in School

Child 4 - Name of School or University Attending/Attended

Child 4 - Occupation

Child 4 - Email

Child 5 - First Name

Child 5 - Last Name

Child 5 - Hebrew Name

Child 5 - bat/ben

Child 5 - Date of Birth

Child 5 - After sunset?

Child 5 - Bar/Bat Mitzvah date

Child 5 - Phone Number

Child 5 - Grade in School

* Child 5 - Name of School or University Attending/Attended

Child 5 - Occupation

Child 5 - Email

When indicating a Hebrew name, please use transliteration. It is only necessary to give the civil date of death; our software will automatically generate the Hebrew date. If you know that the death occurred after sunset, please mark the appropriate box.

* How many Yahrzeits would you like to add?

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

2020‐201 Standard Membership Categories & Pledges

Our standard membership pledges shown here are set so that we are able to meet our budgetary needs each year. We do not charge a separate building assessment but encourage those who can afford more than the standard pledge to consider a gift to the Building Fund. If a pledge at the standard dues level represents a financial hardship, please contact administrator@netivotshalom.org for a dues arrangement form.

If you wish to pay your membership pledge via securities, please click here to download our Securities Transfer Authorization form. Please send one copy to your broker and return one copy to the temple office.

* Please choose the appropriate membership category:

After clicking the submit button below you will be taken to our online payment page. You will have the option to pay by E-Check (No fee - directly out of your bank account) or credit card (3% processing fee) . You will also have the ability to split your payments.

Total Commitment

Sun, January 17 2021 4 Shevat 5781