Belonging Application–Members under Age 30

Belonging Application 2023-2024 Under Age 30

Please fill out the application below to become a member of our Temple Shalom Family!

Family Last Name*
Last
Previous Member*
- Yes
- No
Adult 1 Information*
Title Full Name Nickname if wish to use Religion Birthdate (month/day/year) Hebrew Name Cell Phone
Adult 1 Email*
Adult 1 Gender*
- Male
- Female
- Transgender
- Gender Non-Conforming
- Other
Adult 1 Employment Information
Business Name Position
Adult 2 Information
Title Full Name Nickname if wish to use Religion Birthdate (month/day/year) Hebrew Name Cell Phone
Adult 2 Email
Adult 2 Gender
- Male
- Female
- Transgender
- Gender Non-Conforming
- Other
Adult 2 Employment Information
Business Name Position
Home Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Relationship Status*
- Single
- Engaged
- Married
- Partnered
- Divorced
- Widowed
Wedding/Commitment Date (if applicable)
Years in Dallas/Metroplex Area*
Former Synagogue Name & City
Name(s) of Children (Under 26 years old)
Children who are single and younger than 26 years of age are included in your membership. Please click the + to add a child.
Full Name Hebrew Name Gender Birthdate (day/month/year) Age Grade School Name
Names of Relatives who belong to Temple Shalom
Names Relationship

Please click the + sign to add more lines.
Yahrzeit Information
Please click the + to add more lines.
Name Gregorian Date of Death Congregant to Notify Relationship to Congregant
Yahrzeit Reminder
I prefer a reminder on the Hebrew date of death.
- Hebrew
Adult 1 Skills & Interests*
We want to utilize your skills and connect you with your interests. Please check off any and all areas that you would like to become involved with at Temple Shalom and a committee chair will contact you.
- Belonging/Membership
- Caring Congregation
- Fundraising/Development
- Lifelong Learning
- Sisterhood/Brotherhood
- Social Action/Tikkun Olam
Adult 2 Skills & Interests
We want to utilize your skills and connect you with your interests. Please check off any and all areas that you would like to become involved with at Temple Shalom and a committee chair will contact you.
- Belonging/Membership
- Caring Congregation
- Fundraising/Development
- Lifelong Learning
- Sisterhood/Brotherhood
- Social Action/Tikkun Olam
BELONGING COMMITMENT 2023-2024 The Belonging Commitment (fiscal) year is June 1st through May 31st. Belonging Commitment amounts may be paid annual, semi-annually, quarterly or monthly.
Tickets for the High Holy Days will be issued when at least fifty percent (50%) of the member's annual Belonging Commitment has been paid, or if the member has established an accepted payment plan.
Belonging Commitment Amounts (June 1, 2023-May 31, 2024)
Young Adult (under 30 years) Voluntary Belonging Commitment pledged and paid yearly. I/We understand that we will not be billed and that it is our obligation to send in our yearly voluntary commitment.
Please consult the Temple Shalom website to determine what your membership commitment, fees and Building Fund amounts will be once the oldest member in the household turns 30 years of age.
Payment Schedule*
Our Coordinator of Belonging will send you credit card/ACH authorization forms for you to complete should you desire to use those methods of payment. Checks may be sent to the temple office.
- Annual Payment
- Semi-Annual Payments
- Quarterly Payments
- Monthly
PLEDGE & AGREEMENT (Please complete and submit the form.)
Members under 30 years old--Pledge & Agreement*
If under age 30, I/we agree to an annual voluntary commitment. I/We understand that we are not billed for an amount, so it is up to me/us to continue my/our commitment. Please fill in the amount of your yearly contribution. This amount does not include fees for Religious School, Hebrew School, Bar/Bat Mitzvah, and Confirmation. Submission of this form signifies my/our agreement.
CAPTCHA

Δ

↑

Contact Info

David Lamden, Executive Director
dlamden@templeshalomdallas.org

Temple Shalom
6930 Alpha Road
Dallas, Texas 75240-3602
Phone: (972) 661-1810
Fax: (972) 661-2636

Clergy Emergency Phone
(214) 295-9630

Shabbat Times

Yom Shishi, 13 Sivan 5783

Powered by

RJ Web Builder 3.0

Skip to content

Open toolbar

Accessibility Tools

Increase Text
Decrease Text
Grayscale
High Contrast
Negative Contrast
Light Background
Links Underline
Readable Font
Reset

Business Name	Position

Title	Full Name	Nickname if wish to use	Religion	Birthdate (month/day/year)	Hebrew Name	Cell Phone

Business Name	Position

Full Name	Hebrew Name	Gender	Birthdate (day/month/year)	Age	Grade	School Name