Application for Membership - Form - Brotherhood Synagogue

“Separate not thyself from the community.”

The Brotherhood Synagogue extends to you a warm hand of friendship and, in keeping with the rabbinic dictum, “separate not thyself from the community,” invites you to join our congregation for prayer, study, and meeting with friends. The Brotherhood Synagogue is a welcoming congregation in the Conservative Jewish tradition.

By filling out this form as fully as possible, you will help us to serve your needs to the best of our ability. We look forward to a long and meaningful relationship.

Applying for membership at Brotherhood is a straightforward and easy process. Please completely fill out the form below – the information is intended for Synagogue records only. If you have any questions, please contact our Synagogue Office.

DUES
Family (Regular): $3,440 includes $315 security fee (PRORATED: $286.67)
Family (Age 26-30): $1,385 (PRORATED: $115.42)
Family (Age 21-25) $355 (PRORATED: $29.58)
Individual (Regular) $1,735 includes $160 security fee (PRORATED: $144.58)
Individual (Age 26-30): $690 (PRORATED: $57.50)
Individual (Age 21-25): $185 (PRORATED: $15.42)
Interfaith (Regular): $1,735 includes $160 security fee (PRORATED: $144.58)
Out of Town: $295 (Does not include High Holiday tickets)

IMPORTANT: Brotherhood's membership runs every May through the following April. Through November to April dues are prorated. If you have any questions, please call Toby Borzekowski at 212-674-5750.

The funding needed to carry out operations comes from membership dues and other contributions. We keep our dues as low as possible in an effort to be inclusive. It is Brotherhood Synagogue’s policy never to deny membership for financial reasons. Please contact our Executive Director, Alisha Goodman, if you have any financial questions. All financial information will be kept confidential.

BUILDING FUND:
In order to ensure the long-range financial stability of the Synagogue, all new members in the regular Family and Individual categories are requested to contribute a one-time gift to the building fund (equivalent to your dues) payable over the course of three years, in addition to annual dues. This amounts to $1,042 for a family membership and $525 for an an individual.

* Adult 1 - Title

* Adult 1 - First Name

Adult 1 -Middle Name

* Adult 1 -Last Name

* Adult 1 - Gender

* Adult 1 - Marital Status

* Adult 1 - Birthdate

* Adult 1 - Home Address

* Adult 1 - City

* Adult 1 - State

* Adult 1 - Zip Code

Adult 1 - Home Telephone

* Adult 1 - Email Address

* Adult 1 - Mobile Phone

Adult 1 - Employer

Adult 1 - Occupation

Adult 1 - Work Phone

Adult 1 - Work Address

Adult 1 - Work City

Adult 1 - Work State

Adult 1 - Work Zip Code

Adult 1 - Hebrew Name

* Adult 1 - Tribe

Adult 1 - Your Father's Hebrew Name

Adult 1 - Your Mother's Hebrew Name

Adult 1 - I am interested in learning more about how to participate in activities, groups and programming planning in the following areas:

Adult Education - Developing courses and classesFundraising - Planning fundraising projectsInterfaith - Building bridges to other faithsIsrael - Educating the community about IsraelMusic - Participating in volunteer choir and music programmingProgramming - Arranging cultural and social programsReligious Services - Chanting Torah or HaftorahSocial Action - Working on projects to meet community needs

Adult 1 - Are there other activities, groups, or clubs -- or anything else at the Synagogue -- which you are interested in learning more about or are you interested in starting or leading a new club or group?

* Is there a second adult applying for membership?

* Adult 2 - Title

* Adult 2 - First Name

Adult 2 -Middle Name

* Adult 2 -Last Name

* Adult 2 - Gender

* Adult 2 - Marital Status

* Adult 2 - Birthdate

* Is the Home Address for Adult 2 the same as the home address for Adult 1 above?

* Adult 2 - Home Address

* Adult 2 - City

* Adult 2 - State

* Adult 2 - Zip Code

Adult 2 - Home Telephone

* Adult 2 - Email Address

* Adult 2 - Mobile Phone

Adult 2 - Employer

Adult 2 - Occupation

Adult 2 - Work Phone

Adult 2 - Work Address

Adult 2 - Work City

Adult 2 - Work State

Adult 2 - Work Zip Code

Adult 2 - Hebrew Name

* Adult 2 - Tribe

Adult 2 - Your Father's Hebrew Name

Adult 2 - Your Mother's Hebrew Name

Adult 2 - I am interested in learning more about how to participate in activities, groups and programming in the following areas:

Adult 2 - Are there other activities, groups or programs -- or anything else at the Synagogue -- in which you may be interested in learning more?

* How many children do you have?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Gender

Child 1 - Birthdate

Child 1 - Hebrew Name

Child 1 - School Name

if applicable

Child 1 - Occupation

if applicable

Child 2 - First Name

Child 2 - Last Name

Child 2 - Gender

Child 2 - Birthdate

Child 2 - Hebrew Name

Child 2 - School Name

if applicable

Child 2 - Occupation

if applicable

Child 3 - First Name

Child 3 - Last Name

Child 3 - Gender

Child 3 - Birthdate

Child 3 - Hebrew Name

Child 3 - School Name

if applicable

Child 3 - Occupation

if applicable

Child 4 - First Name

Child 4 - Last Name

Child 4 - Gender

Child 4 - Birthdate

Child 4 - Hebrew Name

Child 4 - School Name

if applicable

Child 4 - Occupation

if applicable

* How many yahrzeits would you like to observe?

First Name

Last Name

Gender

Hebrew Name

Birthdate

Passing Date

Observance (select one)

Relative of:

Relationship

First Name

Last Name

Gender

Hebrew Name

Birthdate

Passing Date

Observance (select one)

Relative of:

Relationship

First Name

Last Name

Gender

Hebrew Name

Birthdate

Passing Date

Observance (select one)

Relative of:

Relationship

First Name

Last Name

Gender

Hebrew Name

Birthdate

Passing Date

Observance (select one)

Relative of:

Relationship

* How did you hear about The Brotherhood Synagogue?

If you don't mind us asking, which congregant do you know?

If you don't mind us asking, how do you know of us?

The Brotherhood Synagogue is a non-profit religious institution belonging to its membership. The funding needed to carry out operations comes from membership dues and other contributions. We keep our dues as low as possible in an effort to be inclusive. It is Brotherhood Synagogue’s policy never to deny membership for financial reasons. Please contact our Executive Director, Alisha Goodman, if you have any financial questions. All financial information will be kept confidential.

* Annual Dues - Please choose an option:

In order to ensure the long range financial stability of the Synagogue, all new members are requested to contribute a one-time gift to the building fund (equivalent to your dues) payable over the course of three years, in addition to the annual dues. The amount is $1,042 per year for Regular Family Membership. I would like to pay my first year Building Fund Installment of $1042.00 now (Regular Family Membership)

In order to ensure the long range financial stability of the Synagogue, all new members are requested to contribute a one-time gift to the building fund (equivalent to your dues) payable over the course of three years, in addition to the annual dues. The amount is $525 per year for a Regular Individual Membership. I would like to pay my first year Building Fund Installment of $525 now (Individual Membership)

* I wish to arrange my/our Membership Dues by:

Total Membership Dues