40 and Under Membership Form - Form

This form is for 40 and Under Membership ONLY.

To submit a Standard Membership form please click here.

Call me/us. I/we still have questions and want more general information about University Synagogue.

Please provide some additional information:

How did you hear about University Synagogue?

Referred by whom?

Please describe:

The primary reasons I/we joined University Synagogue are:

Adult 1 - Title

Adult 1 - First Name

Adult 1 - Last Name

Adult 1 - Nickname

Adult 1 - Hebrew Name

Adult 1 - Gender

Adult 1 - Pronouns

Adult 1 - Date of Birth

Adult 1 - Email Address

Adult 1 - Work Phone

Adult 1 - Cell Phone

Adult 1 - Occupation

Adult 1 - Employer/Business Name

Adult 1 - Religious Background

Adult 1 - Other?

Adult 1 - Marital Status

Adult 1 - Anniversary Date

if applicable

University Synagogue has a wealth of committees, programs, and projects. We invite you to become active in them. Involvement in these groups is a way to meet members with similar interests, become part of our Jewish community, and participate in carrying out the ideals of the synagogue.

Please indicate the committees that interest you. We will place your name(s) on the contact list and have someone call or email you in regard to future meetings and projects.

Adult 1 - Interest In:

Women’s GroupsMen’s Groups

HAVURAH, Hebrew for friendship group, is a special program for those who choose to become members of University Synagogue. Havurot (plural) enable congregants to become acquainted in smaller, more intimate friendship groups based on compatible needs and interests. Most Havurot begin with people who did not previously know each other, but over time, individuals and families have built friendships and bonds that will endure over their lifetimes. Each Havurah formulates its own personality, goals, and activities and typically averages between ten and twenty people. If you would like to join a Havurah, please complete the questions below to assist us in finding the best match and compatibility in a group for you.

Adult 1 - Which do you prefer? (check one)

Primarily adult eventsEvents where children usually participateCombination of events (1⁄2 children, 1⁄2 adults)

Adult 1 - Is there anything else about you that would help us place you in a Havurah and that will make it enjoyable and compatible for you?

Adult 1 - Other interests, hobbies, special skills, foreign languages, talents (e.g. music, computers, sports, etc.):

Adult 1 - Previous synagogue or organizational experiences, including committees (Jewish/non-Jewish):

Adult 1 - I/we hope University Synagogue will serve my/our needs in the following ways(s):

The following questions are designed solely to offer you High Holiday honors and to guide our programming and outreach:

Adult 1 - Do you read Hebrew?

Adult 1 - Can you chant Torah?

Adult 1 - Besides English, which foreign language(s) can you speak or read:

Adult 1 - What is the nature and background of your Jewish education?

* Is there a second adult applying for membership?

Adult 2 - Title

Adult 2 - First Name

Adult 2 - Last Name

Adult 2 - Nickname

Adult 2 - Hebrew Name

Adult 2 - Gender

Adult 2 - Pronouns

Adult 2 - Date of Birth

Adult 2 - Email Address

Adult 2 - Work Phone

Adult 2 - Cell Phone

Adult 2 - Occupation

Adult 2 - Employer/Business Name

Adult 2 - Religious Background

Adult 2 - Other?

Please indicate the committees that interest you. We will place your name(s) on the contact list and have someone call or email you in regard to future meetings and projects.

Adult 2 - Interest In:

Women’s GroupsMen’s Groups

Adult 2 - Which do you prefer? (check one)

Primarily adult eventsEvents where children usually participateCombination of events (1⁄2 children, 1⁄2 adults)

Adult 2 - Is there anything else about you that would help us place you in a Havurah and that will make it enjoyable and compatible for you?

Adult 2 - Other interests, hobbies, special skills, foreign languages, talents (e.g. music, computers, sports, etc.):

Adult 2 - Previous synagogue or organizational experiences, including committees (Jewish/non-Jewish):

Adult 2 - I/we hope University Synagogue will serve my/our needs in the following ways(s):

The following questions are designed solely to offer you High Holiday honors and to guide our programming and outreach:

Adult 2 - Do you read Hebrew?

Adult 2 - Can you chant Torah?

Adult 2 - Besides English, which foreign language(s) can you speak or read:

Adult 2 - What is the nature and background of your Jewish education?

Address

City

State

Zip Code

Home Phone

if applicable

Home Email

if applicable

Mailing Address (if different than residence)

Name of Emergency Contact

Relationship to you

Phone Number

Email Address

Please check this box if you currently have or plan to have a child enrolled in the University Synagogue Pre-School

* How many children are part of this membership unit?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Nickname

Child 1 - Hebrew Name

Child 1 - Gender

Child 1 - Pronouns

Child 1 - Date of Birth

Child 1 - Is child living at main residence?

Please indicate address

Child 1 - Grade

Child 1 - School

Child 1 - Are you interested in enrolling your child in Religious School (Pre-K through 12th Grade)?

Child 2 - First Name

Child 2 - Last Name

Child 2 - Nickname

Child 2 - Hebrew Name

Child 2 - Gender

Child 2 - Pronouns

Child 2 - Date of Birth

Child 2 - Is child living at main residence?

Please indicate address

Child 2 - Grade

Child 2 - School

Child 2 - Are you interested in enrolling your child in Religious School (Pre-K through 12th Grade)?

Child 3 - First Name

Child 3 - Last Name

Child 3 - Nickname

Child 3 - Hebrew Name

Child 3 - Gender

Child 3 - Pronouns

Child 3 - Date of Birth

Child 3 - Is child living at main residence?

Please indicate address

Child 3 - Grade

Child 3 - School

Child 3 - Are you interested in enrolling your child in Religious School (Pre-K through 12th Grade)?

* I/we wish to have the following Yahrzeiten (anniversaries of death) acknowledged.

Yahrzeit Information (Name)

Relationship

Relationship to whom?

Date of Death (English date & year)

Observe on Hebrew or English Date

Yahrzeit Information (Name)

Relationship

Relationship to whom?

Date of Death (English date & year)

Observe on Hebrew or English Date

Yahrzeit Information (Name)

Relationship

Relationship to whom?

Date of Death (English date & year)

Observe on Hebrew or English Date

Yahrzeit Information (Name)

Relationship

Relationship to whom?

Date of Death (English date & year)

Observe on Hebrew or English Date

40 & Under Membership

University Synagogue invites families, couples and singles ages 40-and-under to enjoy and experience our humanistic, creative and joyous celebration of Judaism. We are extending FREE* membership to all who are 40-and-under. (Click here for more information about our 40-and-under membership.)

* Free membership is offered for the first year of new membership. Each year thereafter, there will be a nominal programming fee to continue membership until past the age of 40, at which time, all regular annual membership fees for University Synagogue will apply.