Reform Congregation in Dallas, Texas
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Havurah Program
Havurah Application 2021
Please fill out this form so that the Havurah Committee may place you and/or your family in a Temple Shalom Havurah. Please fill out one form per family. Questions? Contact Coordinator of Belonging Monica Susman at belonging@templeshalomdallas.org.
Adult(s) Name(s)
(Required)
Please click the + sign to add a line for a 2nd adult's name.
Add
Remove
Phone
(Required)
Email
(Required)
Child(s/ren's) Name(s)
Please click the + sign to add a line for each child.
Name
Age
Grade
School
Add
Remove
How long have you been a member of Temple Shalom?
(Required)
Do you have family in the area with whom you celebrate holidays?
(Required)
Yes
No
I/We would like our Havurah to be composed of (check as many as apply):
(Required)
Couples with kids under 5
Couples with kids 6-12
Young Couples 25-40
Mature Couples 40-65
Senior Couples 65+
Adult Singles 25-40
Adult Singles 40-65
Senior Singles 65+
Singles with kids under 5
Singles with kids 6-12
Singles with teens
Check the things you would like to do with your Havurah:
(Required)
Holidays
Shabbat
Dinner
Social Action/Community Service
Cultural Programs
Travel
Attend Services
Movies/Theatre
Outdoor Activities
Indoor Games
Current Event Discussions
Religious Study
Adult Social Gatherings
Other
Please describe:
Please choose up to three goals for joining a Havurah:
(Required)
Celebrate Holidays
Create an "extended family"
Socialize with other Jewish families
Become more involved at Temple Shalom
Meet Jewish people who live nearby
Expand Jewish knowledge
Get involved in community service projects
Other (please specify below)
If other, please describe
Do you consider yourself a planner/organizer?
(Required)
Yes
No
Describe any special interests, circumstances or hobbies that would help us place you and/or your family in a Havurah.
Are there other Temple Shalom Members that you would like to have placed in your Havurah? (Note that we cannot guarantee this request.)
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