Congregation Shir Tikvah Membership Application - Form - Congregation Shir Tikvah

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Congregation Shir Tikvah Membership Application

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Thank you for submitting a membership application to Shir Tikvah! We are so thrilled that you have chosen to join our incredible community. You will be contacted by our office staff within 3 business days to welcome you and confirm your membership was approved.

PERSONAL INFORMATION

ADULT #1:

* First Name

* Last Name

Nickname

Hebrew Name (if applicable)

* Birthdate

Gender (optional)

Pronouns

Home Phone

* Email Address

* May we publish your email address in our directory?

YesNo

* Adult #1: Cell Phone Number

* May we publish your cell phone number in our directory?

YesNo

Marital Status

Anniversary Date (to be recognized in our monthly bulletin)

* Street Address

* City

* State

* Zipcode

ADULT #2:

* First Name

* Last Name

Nickname

Hebrew Name (if applicable)

Birthdate

Gender (optional)

Pronouns

Home Phone (if different from above)

Email Address

May we publish you email address in our directory?

yesno

Cell Phone Number

City

State

* Zipcode

EMPLOYMENT INFORMATION

ADULT #1:

Are you employed?

YesNo

If Employed:

Full TimePart Time

Occupation:

Business Street Address

City

State

Zipcode

Business Phone Number

May we publish your business phone number in our directory?

YesNo

Are you retired?

YesNo

If yes, previous occupation:

ADULT #2:

Are you Employed?

YesNo

If Employed:

Full TimePart Time

Occupation:

Business Street Address

City

State

Zipcode

Business Phone Number

May we publish your business phone number in our directory?

YesNo

Are you retired?

YesNo

If yes, previous occupation:

Children Living In Your Home

CHILD #1:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

CHILD #2:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

CHILD #3:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

CHILD #4:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

CHILD #5:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

CHILD #6:

Child's Name

Hebrew Name

Gender (optional)

Pronouns

Birthdate

Grade

For new enrollments, please select the tuition and corresponding fees for this child:

Tikvah Explorers (Pre-K & Kindergarten) - Sundays Only $2981st Grade - Sundays Only $6132nd Grade - Sundays Only $6133rd Grade - Sundays and Tuesdays $9084th Grade - Sundays and Tuesdays $9085th Grade - Sundays and Tuesdays $9086th Grade - Sundays and Tuesdays $9087th Grade - Sundays Only $613Kesher Teen Program (Select if 8th Grade) $180Kesher Teen Program (Select if 9th Grade) $180Kesher Teen Program (Select if 10th Grade) $180Kesher Teen Program (Select if 11th Grade) $180Kesher Teen Program (Select if 12th Grade) $180Materials & Supplies (one fee per child, any grade) $36Tutoring (Fee to Apply for 6th & 7th Graders) $390B'nai Mitzvah Fee (Fee applied membership year of b-mitzvah) $225

OTHER INFORMATION

Are any other family members Congregation Shir Tikvah members?

YesNo

If yes, please lists names:

Previous Temple Affiliation

How did you become interested in Congregation Shir Tikvah?

Were you referred by Temple Members?

YesNo

If yes, by whom were you referred?

YAHRZEIT INFORMATION
Note: At Shir Tikvah yahrzeit letters and bimah readings are limited to immediate family (spouse, sibling, child or parent).

Name

Relationship

To Whom

Which calendar do you prefer to use for this observance date?

EnglishHebrew

Name

Relationship

To Whom

Which calendar do you prefer to use for this observance date?

EnglishHebrew

Name

Relationship

To Whom

Which calendar do you prefer to use for this observance date?

EnglishHebrew

Name

Relationship

To Whom

Which calendar do you prefer to use for this observance date?

EnglishHebrew

VOLUNTEER DATA
Congregation Shir Tikvah relies on volunteers to help make our community the best it can be! Not only is it a MITZVAH to volunteer, it is also a wonderful way to have fun and get to know one another better. We appreciate any amount of volunteering you are able to do!

Please check any of the following skills or interests you have. If and when a need arises for a volunteer with your skills or interests we will contact you for assistance. Thank you!! :

Accounting/FinancialAdult LearningAdvertisingArtistic AbilityBereavement SkillsBook ClubBylaws Review/UpdateCaring CommitteeComputer SkillsCongregational DinnersCookingBakingDecorating/Interior DesignDisaster PreparednessDriving Shut-insEvent PlanningFamily EducationFundraisingGardening/LandscapingGrant WritingGraphic DesignHebrewHouse and Grounds CommitteeInterfaith IssuesIssues of Church and StateLeadership DevelopmentLeading ServicesLong Range PlanningWebsite MaintenanceMaking Telephone CallsMembership CommitteeMembership RetentionBrotherhoodMitzvah DayMusical AbilityNon Profit Board ExperienceOffice SkillsOffice MailingsPassover SederPhotographyPreschoolPublic RelationsPublicityPurim CarnivalReading TorahRitual CommitteeSales/MarketingSisterhoodSocial ActionTeaching AdultsTeaching ChildrenTemple ArchivesTheater/DramaUsheringVisiting the SickWorking on OnegsWorking with VolunteersWorking with College YouthWriting/EditingYouth Activities

Temple Leadership Experience? If so, please explain.

Further explanation of any of your skills or interests:

Other skills and interests not listed above:

VOLUNTEER TIME COMMITMENT

Day(s) of the week I can volunteer:

Any DaySundayMondayTuesdayWednesdayThursdayFridaySaturday

Time of day I can volunteer:

Any TimeMorningAfternoonEvening

Prefer to volunteer on a project basis

Prefer to volunteer on a project basis

PLEDGE INFORMATION

I/We would like to support Shir Tikvah for the current Fiscal Year with the following pledge:

Please enter an amount of your choosing. You may reference our Recommended Pledge Guide for assistance in selecting your pledge amount.

I/We would also like to participate in the Circle of Givers program of extra giving at the following level:

$1,800$1,080$720$360$180

I/We would like to be recognized in the Schrier for our Circle of Givers gift.I/We would like to remain anonymous in the Schrier for Circle of Givers gift.

Annual $90 Security Fee

Annual $90 Security FeeSupports security efforts throughout the membership year.

Thank you for completing this membership application! Please click submit to process your payment for the financial commitments you selected above (monthly installments must be complete by June 30, 2022 - the end of our fiscal year).

Wed, April 24 2024
16 Nisan 5784

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Wed, April 24 2024 16 Nisan 5784

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congregation shir tikvah 3900 northfield parkway, troy, michigan 48084 | phone: (248) 649-4418 | fax: (248) 649-8236

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