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New Member Information
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We are thrilled to welcome you into the Beth Am Israel community. Please tell us more about yourself so we can get to know you better.
Adult Information
*
Adult 1 Name
Adult 1 Pronouns
*
Adult 1 Phone Number
Adult 1 Other Phone
*
Adult 1 Email
Adult 1 Birthday
*
Primary Address
*
Primary Address City
*
Primary Address State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Primary Address Zip
Adult 2 Name (if applicable)
Adult 2 Pronouns
Adult 2 Phone Number
Adult 2 Other Phone
Adult 2 Email
Adult 2 Birthday
Relationship Status
Single
Married
Partnered
Separated
Divorced
Widowed
Anniversary (if applicable)
Children's Information
Child 1
Full Name
Pronouns
Hebrew Name (if known/given)
Birthdate
Primary School
Current Grade
Did child have a B'nai Mitzvah service?
Yes
No
If yes, please share date (if known)
Child 2
Full Name
Pronouns
Hebrew Name (if known/given)
Birthdate
Primary School
Current Grade
Did child have a B'nai Mitzvah service?
Yes
No
If yes, please share date (if known)
Child 3
Full Name
Pronouns
Hebrew Name (if known/given)
Birthdate
Primary School
Current Grade
Did child have a B'nai Mitzvah service?
Yes
No
If yes, please share date (if known)
Child 4
Full Name
Pronouns
Hebrew Name (if known/given)
Birthdate
Primary School
Current Grade
Did child have a B'nai Mitzvah service?
Yes
No
If yes, please share date (if known)
Beth Am Israel takes pictures to document our experiences and to share them with the BAI community in emails, on the website and in social media. If you would not like you and/or your child(ren) to be photographed, please
email the office
.
Getting to Know You
Who or what sparked your interest in Beth Am Israel? (please choose the most relevant answer from the dropdown below)
BAI Member (list name of member)
Non-BAI Member (list name)
BAI Staff (list name)
Attended a BAI program or service (which one?)
BAI Clergy
Facebook
Instagram
Internet search/BAI website
General community knowledge of BAI
Location
Other
We recognize that you have many choices for your Jewish home. Why are you specifically choosing Beth Am Israel? (please check all that apply)
BAI Clergy
Family/Friends at BAI
Prayer Services
Spiritual Exploration
Sustainable Commitment Model
Welcoming to people who are not Jewish or practicing
Commitment to social justice
Commitment to caring for our BAI community
Commitment to environmental stewardship
Commitment to inclusivity and diversity
Warm and welcoming community
Adult Learning
Children's Education Program (Shorashim)
Music
Location
Other
We strive to create access to all parts of our community. Feel free to share with us, in summary, the accommodations that you and any/all family members need to participate fully in our congregation. Please reach out to Lori Dafilou at executivedirector@bethamisrael.org to have a deeper conversation about your needs.
What are the areas you and/or members of your family would like to explore this year to bring joy or meaning to your life?
(please check all that apply)
Holiday Celebrations
Israel
Social Activities (Kesher Group)
Read Hebrew
Adult Learning
Social Justice
Music
Mindfulness/Meditation
Speak Hebrew
Family Events
Youth Activities
Other
What are your hopes and goals as a member of our Beth Am Israel community? What do you envision for yourself and/or your family as you grow here? Do you have any concerns about your role as a member of Beth Am Israel? Please share with us any thoughts or topics for further discussion. We want to hear what's on your mind!
What is your religious identity?
(please check all that apply)
Adult 1
I am Jewish
I am not Jewish
I am interested in learning more about Judaism
I am considering or in the process of converting to Judaism
It's complicated - let's talk!
Adult 2
I am Jewish
I am not Jewish
I am interested in learning more about Judaism
I am considering or in the process of converting to Judaism
It's complicated - let's talk!
We know religious identity is a complex topic that does not always fit into a checkbox. Please use the space below to share any additional thoughts.
Adult 1 - Did you have a B'nai Mitzvah service?
Yes
No
No, but I am interested in one
Adult 2 - Did you have a B'nai Mitzvah service?
Yes
No
No, but I am interested in one
Adult 1 - If yes, please share date (if known)
Adult 2 - If yes, please share date (if known)
Adult 1 - If you have/know your Hebrew name, please list here.
Adult 2 - If you have/know your Hebrew name, please list it here.
Getting Involved
It takes each one of us to make our community hum! Your engagement and support are critical. Which kinds of things might you and/or the other members of your household be interested in helping out with? (check all that apply)
Adult Learning
Fundraising
Cooking/Baking
Youth Activities
Social Media
Marketing/Publicity
Driving
Event Setup/Cleanup
Environment/Ya'ar/Green Team
Help with Shorashim (school)
House/Grounds
Purim Baskets
Social Activities (Kesher)
Membership
Diversity/Inclusion
Help with mailings
Other/Not Sure (Please have someone call me to discuss my options)
Would you or members of your family be interested in participating in these ritual experiences?
(please check all that apply)
Read/Chant Torah
Read/Chant Haftarah
Lead services/minyan
Present D'var Torah
Facilitate Torah Study
Read/Chant Megillah
My Interests!
We thrive when we all pursue our passions and share these passions with the rest of us! We’re a community of seekers and learners and we’re thrilled for you to bring your insights and energy!
What skills, interests, talents or professional experience can you bring to and share with BAI adults or children this year?
E.g. birding, yoga, Israeli crafts, mindfulness, music, teaching, graphic design...
Remembering Your Loved Ones
Jewish practice offers the opportunity for you to mark the Yahrzeit, the anniversary of passing, of those you love. Please list all loved ones you wish to remember with your BAI community.
Adult 1
Adult 2
Deceased Name
Deceased Name
The deceased is my:
The deceased is my:
Date of Passing
Date of Passing
Before or After Sunset (if known):
Before sunset
After sunset
I'm not sure
Before or After Sunset (if known):
Before sunset
After sunset
I'm not sure
Deceased Name
Deceased Name
The deceased is my:
The deceased is my:
English Date of Passing
English Date of Passing
Before or After Sunset (if known):
Before sunset
After sunset
I'm not sure
Before or After Sunset (if known):
Before sunset
After sunset
I'm not sure
If you have additional yahrzeits, please add them to your member account online once it is active.
Congratulations! You've completed Step 1 of 2. Thanks for sharing this important information. Please click "SUBMIT" below for information on Step 2. Welcome to Beth Am Israel!
Wed, December 18 2024
17 Kislev 5785
Wed, December 18 2024 17 Kislev 5785
