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New Member Application

This is Congregation Beth Israel's New Member Form and is for New Members ONLY - if you are a MEMBER please DO NOT complete this form.
 

 

Welcome! We're glad you found us. Please read our application carefully and should you have any questions, please do not hesitate to contact us. Our Membership Coordinator is available for any and all questions and can be reached via email at membership @congregationbethisrael.org.  You can also contact our office at 817-581-5500 or administration@congregationbethisrael.org.

What's your name?

Title

First Name

Last Name

We know this question can be answered many ways, but we work to provide each of our members with a balanced Synagogue experience between services, ritual, community, education, social programming, and lifelong connections.

This helps us not only plan our programming for the year but allows us to make sure your household receives the right support from the right staff members and volunteers at CBI.

Membership Financial Commitment

Congregation Beth Israel relies on the financial commitment of each member to establish and maintain our budget.  A member's financial commitment helps cultivate purposeful Jewish lives for all members and provides a home for every soul who wishes to join our community.

Individual

A Jewish adult who is not married or Jewish adult whose non-Jewish partner does not participate in CBI events or ancillary groups and children are being raised in another religion. Partner and children may attend services, but tickets must be purchased to attend High Holy Days services. Partner and adult children may not participate in CBI events or ancillary groups and are not afforded life cycle events. Individuals under age 35 are exempt from Capital Fund for first year. Seniors over the age of 65 are exempt from Capital Fund Pledge.      

Family

Household of at least one Jewish adult and their dependent children, if any, who are being raised as Jewish or two adults who are both participating at CBI. Adults under the age of 35 are exempt from Capital Fund pledge for the first year.  Seniors over the age of 65 are exempt from Capital Fund Pledge.           

Associate

A full dues paying member in good standing at another congregation in DFW area. Associate members are not afforded life cycle events, have no voting privileges, cannot be a board member and children are not eligible for religious school. Does include High Holiday tickets.                  

Adult Child of Member

Child (and his/her spouse at time of application, if any) of a member may remain as part of that member’s Family Membership until they cease to be a dependent of the member – No dues required

 

Capital Fund Commitment

Capital Fund

The Capital Fund is applied towards various capital requirements as established and approved by the Board of Trustees of Congregation Beth Israel.

It is every member's responsibility to contribute to this fund.  Contributions are paid over a period of five years and are billed along with your membership commitment. 

 


Contact Information

Email

Mobile #

Birthday

Indicate Year
Indicate Religion Practiced

Hebrew First Name

Father's Hebrew Name

Mother's Hebrew Name

Where do you work? What do you do?

Address & Street

Apartment/Unit # (if applicable)

City

State

Zip Code


Have you belonged to another synagogue in the past three years? If so, which?

City, State

Phone # (if you have it)

Marriage Anniversary

Member 2

Title

First Name

Last Name

Email

Mobile #

Birthday

Indicate Year
Indicate Religion Practiced

Hebrew First Name

Father's Hebrew Name

Mother's Hebrew Name

Where do they work? What do they do?

Please let us know about your kids, big and small, so we can keep in touch and provide them support and a connection to you, their parent.

Child 1

First Name

Last Name (if different)

Gender

Birthday

Bar/Bat Mitzvah Date

Mobile #

School

17-18 Grade Level

Child 2

First Name

Last Name (if different)

Gender

Birthday

Bar/Bat Mitzvah Date

Mobile #

School

17-18 Grade Level

Child 3

First Name

Last Name (if different)

Gender

Birthday

Bar/Bat Mitzvah Date

Mobile #

School

17-18 Grade Level

Child 4

First Name

Last Name (if different)

Gender

Birthday

Bar/Bat Mitzvah Date

Mobile #

School

17-18 Grade Level

Yahrzeit Information

Observer Name

Name of Deceased

Date of Death

Before of after sundown

Gender

Relationship to observer

Observer Name

Name of Deceased

Date of Death

Before of after sundown

Gender

Relationship to observer

You may add more Yahrzeits once you complete this form and access your account.

PAYMENT INFORMATION
As part of our Membership application process, we require applicants to supply us with their payment information.  Please indicate the method you wish to choose to make your contributions.  NOTE: You will not be charged any amount at this time.  Once you membership has been approved, you will receive a separate email notifying you that you have been approved and when payments will begin.


1.There will be a Convenience Fee associated with this type of payment.  
Once your membership has been accepted, your account will be billed the contribution and capital fund amount for one year.  At that time, you will be able to go into your account and set-up your credit card payments that will auto charge each month and apply to the invoice you have selected.


2. ACH (DEBIT) AUTHORIZATION - I/We hereby authorize Congregation Beth Israel to initiate debit entries to my (our) checking account indicate above and the Bank named above to debit the same to such account.
ACH is currently processed through our accounting software, Quickbooks. Once your membership has been accepted, your account will be billed the contribution and capital fund amount for one year based on the frequency you choose..

All membership commitments must be paid in full or secured with a payment plan through a preapproved credit card authorization or automatic bank withdrawal. All membership contributions will be tax deductible in the calendar year they are paid. However, they are credited to your account by fiscal year (August 1st to July 31st ). Thank you so much for your contribution.

Thu, June 27 2019 24 Sivan 5779