2022-23 New Member Form - Form - Congregation Netivot Shalom

IF YOU DON'T HAVE A SHULCLOUD ACCOUNT SIMPLY FILL OUT THE FORM WITHOUT LOGGING IN.

Welcome to Netivot Shalom!

We're excited that you are interested in joining our congregation, and are eager to welcome you to our community.

After you fill out this New Member Packet, please check our website at www.netivotshalom.org, which has information about Netivot Shalom and the many opportunities for Jewish learning, ritual, and practice that are available to members.

If you have questions about our community and how to join, please contact our Executive Director, Ken Schnur at ken@netivotshalom.org.

Letter from Rabbi Chai Levy

Shalom and welcome to Congregation Netivot Shalom!

Living through the Covid pandemic has highlighted for all of us the importance of community, and I’m thrilled that you’re considering joining us. 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 justice, or simply being part of an extended Jewish family, we warmly welcome you!

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.

Rabbi Chai Levy

2022-2023 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 are not charging a separate building or security assessment this year, but encourage you to consider pledging more than the applicable amount in our Beyond Dues campaign. This will help others who cannot afford to pay their full dues assessment, and help us meet our budget goals.

NOTE: This is just a price chart. You will make your selection using the checkboxes below.

1. Family Memberships (including children under the age of 25 living at home)

Two adults, at least one 35 years of age or older -- $3,500
Two adults, both under 35 years of age -- $900
Two adults, both of whom are full-time students -- $360

2. Individual Memberships

One adult, who has reached the age of 35 -- $1,750
One adult, under the age of 35 -- $450
One adult, who is a full-time student -- $180

3. Associate Membership (member of another synagogue)

Two adults -- $1,750
One adult -- $875

4. Out of Town Memberships -- $360 per adult

For friends of the congregation, including former members, and relatives of members, who live outside the Bay Area. Out of town members are listed in the roster but do not receive High Holy Day passes unless they make special arrangements.

5. New Members - 1/2 of the applicable category above

6. It’s Complicated

We know people often don’t fit neatly into categories. If your situation is not easily described by one of the categories listed above, don’t hesitate to contact us. We are eager to have you as members, and we consider special circumstances as well as financial hardships that require non-standard memberships. Please note: all requests for dues adjustment, and all information provided is kept strictly confidential.

New Member Rates (One-half of Normal Dues). Please check the box that best applies.

One Adult Household - Membership Dues Levels

Two Adult Household - Membership Dues Levels

If you are an Associate Member (member of another synagogue), please write which synagogue you belong to and your household type (i.e. one adult over 35).

If you are unable to select one that applies due to extenuating financial circumstances, please leave these boxes unchecked. Please proceed with filling out the rest of the form and complete the separate Dues Arrangement Form.

If you are able, we encourage you to consider pledging more than the applicable amount in our Beyond Dues campaign. This will help others who cannot afford to pay their full dues assessment, and help us meet our budget goals.

2022-2023 Beyond Dues -- Additional Donation

$1,800$1,000$720$360

2022-2023 Beyond Dues - Other amount

Total Commitment

Please proceed with the rest of the form. We will bill you the above amount and we will be in touch to help you figure out a payment plan.

* Adult 1 - First Name

* Adult 1 - Last Name

Adult 1 - Hebrew Name

Adult 1 bat/ben

* Adult 1 - Birthday

Adult 1 - After sunset?

YesNo

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?

YesNo

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

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Payment method

E-check/bank accountCredit/debit card (3% convenience fee added)Mail a physical checkStock transferThere are four payment methods for dues. Please select one and we will be in touch with you about how to set up your payment plan.