Application for Membership

Please fill out our application form below. All information will be kept confidential and is intended to help us better serve you and make your temple experience more meaningful.

Partner or Spouse Member (PSM)

Salutation

PSM First Name

PSM Middle Name

PSM Last Name

PSM Nickname

PSM Maiden Name

PSM Hebrew Name

PSM Hebrew Name of Parents

PSM Religious Upbringing

PSM Religious Practice

PSM Date of Birth

PSM Birthplace

PSM Gender

PSM Pronouns

PSM Preferred Method of Communication

PSM Primary Email

PSM Primary Cell Phone

PSM Home Phone

PSM Work Phone

Special Accommodations

Do they need assistance to participate in Temple life?

Yes, please specify:

Other Special Accommodation

PSM Employer

PSM Profession/Industry

PSM Business Address

PSM Business City

PSM Business State

PSM Business Zip Code

PSM Business Email

PSM Business Phone

Skills

Do they have any specific skills that they would be willing to share with the Emanu-EL community?

If you would like to elaborate on any of these skills or list others for your Partner or Spouse, please indicate here:

Household Information

Street Address

Address Line 2

City

State

Zip Code

Do you have a different billing address?

Billing Address

Billing Street Address

Billing Street Address Line 2

Billing City

Billing State

Billing Zip Code

Billing Address for Authorize (Hidden)

Billing Street Address for Authorize

Billing City for Authorize

Billing State for Authorize

Billing Zip Code for Authorize

Do you have another home where you spend a considerable amount of time?

Second Home Address

Second Home Street Address

Second Home Street Address Line 2

Second Home City

Second Home State

Second Home Zip Code

Type of Second Home Address

What are your main reasons for joining?

How long have you lived in the Bay Area?

Were you previously a member of another synagogue? If yes, please tell us the name and location of the synagogue.

Prior Synagogue City

Prior Synagogue State

Would you like to add your child/children (under the age of 26)?

Would you like to add adult child/children not residing with you?

Child Details

Child First Name

Child Middle Name

Child Last Name

Child Date of Birth

Child Birthplace

Child Hebrew Name

Child Pronouns

Child Gender

Child Email

Child Mobile Phone

Name of School

Current Grade

Special Accommodations

Do they need assistance to participate in Temple life?

Yes, please specify:

Other Special Accommodation

Adult Child Details

Adult Child First Name

Adult Child Middle Name

Adult Child Last Name

Adult Child Date of Birth

Adult Child Birthplace

Adult Child Hebrew Name

Adult Child Pronouns

Adult Child Gender

Adult Child Email

Adult Child Mobile Phone

Adult Child Address

Adult Child Street Address

Adult Child City

Adult Child State

Adult Child Zip Code

Special Accommodations

Do they need assistance to participate in Temple life?

Yes, please specify:

Other Special Accommodation

Membership

The true cost of membership is just over $5,000. Below are the discounted rates.

Membership Categories

	Family	Individual/Single Parent
ADULT age 40 and over	$3,555	$2,100
ADULT age 35-39	$2,040	$1,230
ADULT age 30-34	$1,230	$630
ADULT under age 30	$630	$428

Honorary Levels – Giving at these levels enables the synagogue to provide for those who are in financial need. Support at honorary levels will be recognized in the Temple Chronicle, unless otherwise instructed.

Category	Dues Amount
Visionaries	$25,000 or above
Angels	$10,000 - $24,999
Leaders	$5,400 - $9,999
Heroes	$3,600 - $5,399
Prophets (For households age 39 and younger, Individuals age 40 and over)	$2,400 - $3,599
Guardians (For households age 34 and younger)	$1,990 - $2,399

At Congregation Emanu-El, we ask you to “choose your dues”, using the above schedule as guideline, for your first fiscal year of membership, under our voluntary system. Our fiscal year is July 1 – June 30. After the first fiscal year, dues will be assessed according to the above schedule. No one has ever been denied membership due to financial circumstances.

For engaged couples: If you join at least one year before your wedding date, you may choose to join under the voluntary membership plan. However, if you are joining within the year of your wedding, the membership fee is $1,500 or your category as shown above, whichever is higher. This fee includes clergy officiating and discounted Temple facility usage rates.

I/We apply for membership in Congregation Emanu-El. I/We agree to a voluntary financial commitment for my/our first fiscal year. I/We understand that a formal financial commitment will be self-determined at the end of my/our first fiscal year of membership.

We ask that you help support the Congregation at whatever level is possible. To help our cash flow, we ask that you consider making a one-time payment now. Alternately, you may elect installments and your credit card or checking account will be charged either monthly or quarterly. To choose the installment option, be sure to enter a starting date that will complete your payments by June 30, 2025.

Annual Commitment

$

Minimum amount $18

Pay this in installments?

Maximum Number of Payments

# of Installment Payments

Installment Amount

Amount to Pay Now

Payment

I would like to pay by:

Payment Information ACH/ eCheck

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Account Type

CheckingSavings

Payment Information Credit Card/Debit Card

Name on Card

Card Number

MM

YY

Code

Membership End Date

Campaign ID

Authnet_Hidden_Fields

Marketing/Communications/Public Relations	Graphic Design
Photography/Videography	Writing/Editing
Event Planning/ Program Management	Career Development (interviewing, resume writing, coaching, etc.)
Torah Reading	Shofar Blowing
Other

Marketing/Communications/Public Relations	Graphic Design
Photography/Videography	Writing/Editing
Event Planning/ Program Management	Career Development (interviewing, resume writing, coaching, etc.)
Torah Reading	Shofar Blowing
Other

Celebrating Shabbat and Holidays	B'Bayit Small Groups
Lifecycle Events	Teen Programs
Adult Education	Israel
Men's Group (a group focused on Torah Study and socializing for male-identified members, 55+)	Women of Emanu-El (a group for all female-identified members, 21+)
Tribe for Men (a group for Emanu-El fathers with children birth - 18)	Tzedek Collective (social justice)
Temple Sponsored Trips (Overseas)	Families with young children
Families with school-age children	Young Adults (20's & 30's)
Interfaith couples or families	Jews of Color
LGBTQ+	Adult Singles
New empty nesters (not retired)	Retirees
Other