New Membership Application 2025-26 - Form

* Today's Date

IMPORTANT:

Membership at Temple Menorah is based on a Sustaining Contribution model. Please click here to read more about this model. We turn no one away for financial need.

If you have an existing ShulCloud account with Temple Menorah, please be sure to log in before filling out this form.

For all applicants - please be sure to enter your information EXACTLY as you want it to appear on your account. Please do not type in all caps and be sure to double check before submission.

After submitting the form, you will receive a confirmation email with further instructions for setting up/updating your account.

Thank you in advance!

CONTACT INFORMATION

Information for Adult #1

* First Name

Middle Name

* Last Name

Mailings Should Be Addressed As?

(i.e, Mr. Mrs. different last names)

Hebrew Name

bat/ben

* Home Address

* City

* State

* Zip Code

* Home Phone

Mobile Phone

Work Phone

* Preferred Email Address

Alternate Email Address

Birthdate

Place of Birth-City, State and Country

Marital Status

If Married, Date of Marriage

Religious Tradition in Which You Were Raised

JewishNon-Jewish

Other Religious Affiliation (if applicable)

Current Religious Tradition

JewishNon-JewishJew-By-Choice

Other Current Religious Affiliation (if applicable)

Did your Jewish Education include (check all that apply)

Religious-SchoolBar/Bat MitzvahConfirmationDay-School

Previous Synagogue Affiliation (if applicable)

* How did you learn about Temple Menorah and what motivated you to join us?

Please list family members who are current members of Temple Menorah and their relationship to you (if applicable)

Occupation (if retired, please list previous occupation)

Employer

Information for Adult #2

First Name

Middle Name

Last Name

Hebrew Name

bat/ben

Mobile Phone

Work Phone

Preferred Email

Alternative Email

Birthdate

Place of Birth-City, State and Country

Religious Tradition in Which You Were Raised

JewishNon-Jewish

Other Religious Affiliation (if applicable)

Current Religious Tradition

JewishNon-JewishJew-By-Choice

Other Current Religious Affiliation (if applicable)

Did your Jewish Education include (check all that apply)

Religious SchoolBar/Bat MitzvahConfirmationDay School

Occupation (if retired, please list previous occupation)

Employer

Membership Commitment & Enrollment Information
Our suggested contribution level is based around a "Sustaining Level," which is the average amount needed from each member household to sustain the operations, facilities, programs, and services at Temple Menorah. This excludes Temple Menorah schools, which will continue to remain funded primarily though tuition.

This Year's Sustainability Amount:

Our Sustainability amount for the 2025-2026 year is $3,750.

Please enter the exact amount you wish to pledge for membership in the space provided below each giving level. This section is required. If you need assistance, please contact Ilise Welter (310-316-8444).

* Sustaining: $3,750

In order to keep our community safe, we request a $360 security donation per family, or $30 per month. This contribution is tax-deductible.

* Security Contribution

Important Payment Information

Once you hit submit, you will be prompted to select your method of payment on your pledge. You can select to pay in full or set up installments. This form is not complete without payment processed on the next page. If you cannot make a payment today OR if you would like to pay using a third party, please reach out to Ilise Welter (ilise@templemenorah.org) as soon as possible for assistance.

Please note: All memberships in good standing include access to all High Holy Day services.

Total:

Permissions

* Member Directory

Temple Menorah is authorized to list my family's contact information in the Member Directory.

* Photography

Temple Menorah has permission to photograph my family and use the photographs for promotional materials.

Subscriptions/Interests

I/We would be interested in starting:

Please let us know if you are interested in starting or joining a program not already listed (for instance: mahjong, book club, hiking group, etc.) We will take your considerations into account when planning programming if we have enough interest.

Volunteering and Committees
Our community values its volunteers. Please indicate your interest below.

I/we would be interested in joining a committee

I/we would be interested in volunteering

If you are interested in joining a committee, please select the committee(s) that interest you the most below:

Temple Menorah Security Information

Vehicle Information

You will receive a new 2024-2025 vehicle sticker if you fill out information for each vehicle and include license plate information. If you do not have a vehicle, please input "no vehicle" into each field.

First Vehicle

* Make

* Model/Color

* Year

* License Plate Number

Second Vehicle

Make

Model/Color

Year

License Plate Number

Total