Sinai Temple New Membership Form - Form - Sinai Temple of Champaign

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Sinai Temple New Membership Form

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Sinai Temple
Member Application

FAMILY INFORMATION

* Home Address

* City

* State

* Zip Code

Home Phone

if applicable

Marital Status

Anniversary Date

if applicable

ADULT 1 INFORMATION

* Adult 1 -First Name

Adult 1 -Middle Name

* Adult 1 - Last Name

Adult 1 - Date of Birth

* Adult 1 - Email address

Adult 1 - Hebrew Name

Adult 1 - Father's Hebrew Name

Adult 1 - Mother's Hebrew Name

Adult 1 - Mobile Phone

Adult 1 - Occupation

Adult 1 - Employer

Adult 1 - Work Phone

Adult 1 - Please indicate what information you would like included in the Temple Member Directory

Email AddressCell PhoneWork Phone

ADULT 1 - COMMITTEES & VOLUNTEERING

Building & GroundsChavurahDevelopment/FundraisingGreen TeamKitchen/Oneg

LibraryMembershipMusicOffice/Mailing Help

Religious EducationSocial ActionSocial EventsUshers

Other - If you have any other skills or talents you would like to share with us:

* Is there a second Adult applying for Membership?

ADULT 2 INFORMATION

Adult 2 -First Name

Adult 2 -Middle Name

Adult 2 - Last Name

Adult 2 - Date of Birth

Adult 2 - Email address

Adult 2 - Hebrew Name

Adult 2 - Father's Hebrew Name

Adult 2 - Mother's Hebrew Name

Adult 2 - Mobile Phone

Adult 2 - Occupation

Adult 2 - Employer

Adult 2 - Work Phone

Adult 2 - Please indicate what information you would like included in the Temple Member Directory

Email AddressCell PhoneWork Phone

ADULT 2 - COMMITTEES & VOLUNTEERING

Building & GroundsChavurahDevelopment/FundraisingGreen TeamKitchen/Oneg

LibraryMembershipMusicOffice/Mailing Help

Religious EducationSocial ActionSocial EventsUshers

Other - If you have any other skills or talents you would like to share with us:

CHILDREN'S INFORMATION

Child's Full Name

Child's Birthdate

Child's Hebrew Name

Child's School

Religious Education Level/Experience

MEMORIAL/YAHRZEIT INFORMATION

The names of deceased family members will be mentioned at the Friday evening service held in the week prior to observance of the Yahrzeit. Please list the names of those you wish to have remembered in this fashion. If you need assistance determining either the secular or Hebrew date, please contact the temple office.

* Full Name of Deceased

Hebrew Name of Deceased

* Relationship to Member

e.g. Father of Isaac Cohen

* Civil Date of Death

Hebrew Date of Death, if known

* Which date do you wish to observe?

* Before/After Sunet?

ADDITIONAL INFORMATION

Please describe you/your family's religious affiliation/observance (for example; interfaith family, all members observant Reform Jews, one partner non-religious, on partner Conservative, etc) This information helps u plan programming and events for our diverse temple family.

ShulCloud 8/2023

Sat, April 27 2024 19 Nisan 5784

Contact Info

stoffice@sinaitemplecu.org

Sinai Temple
3104 West Windsor Road
Champaign, Illinois 61822-6104

P: 217-352-8140

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