We are Habonim, âthe builders,â a community that works together to build meaningful ... Saw an advertisement about o
Member of United Synagogue of Conservative Judaism
Congregation Habonim 103 West End Ave
New York, NY 10023
212.787.5347
fax 212.595.3542
www.habonim.net
We are Habonim, “the builders,” a community that works together to build meaningful Jewish experiences for ourselves and our families. We extend an invitation to you to join our congregation for prayer, study and friendship, and hope that you will join us as we grow together as individuals, families and as a community. We look forward to a long and meaningful relationship with you.
Membership Information Adult #1 Title:
Mr.
Ms.
Mrs.
Dr.
Adult #2 Rabbi
Other
Title:
Mr.
Ms.
Mrs.
Dr.
Rabbi
Other
Name ______________________________________
Name ______________________________________
Hebrew Name ______________________________
Hebrew Name ______________________________
Father’s Hebrew Name _____________________
Father’s Hebrew Name _____________________
Mother’s Hebrew Name _____________________
Mother’s Hebrew Name _____________________
Date of Birth _____/______/__________
Date of Birth _____/______/__________
Home Address ______________________________
Home Address ______________________________
____________________________________________
____________________________________________
Home Phone _______________________________
Home Phone _______________________________
Family / Personal Email _____________________
Family / Personal Email _____________________
Family Fax _________________________________
Family Fax _________________________________
Profession/ Title _____________________________
Profession/ Title _____________________________
Company name____________________________
Business Address ____________________________
Address ____________________________________
____________________________________________
____________________________________________
Business Phone ____________________ext._____
Business Phone ____________________ext._____
Business Email Address ______________________
Business Email Address ______________________
Fax ________________________________________
Fax ________________________________________
Mobile Phone ______________________________
Mobile Phone ______________________________
Sex
Sex
Male
Male
Female
Female
Wedding Anniversary ____/____/____
For Office Use Only Dues Amount Dues with Application NS RS Date received
Membership type: please select one Individual Family Single Parent Family Student Chaver (Chaver membership is for those who live 50 or more miles from Congregation Habonim)
Children (under age 18) Name
Hebrew Name
Date of Birth
Bar/Bat Mitzvah date School/Occupation
Hebrew Name
Contact Information
Adult Children Name
Parents of Members Name
Hebrew Name
Contact information
Yahrzeits It is our custom to remind congregants of the yahrzeits of their loved ones. Name of Loved One (English)
(Hebrew) Name
Relationship
Date of Death
Please notify the synagogue office if you would like to add more yahrzeits
Time of Death (indicate day or night)
What brings you to Congregation Habonim? Nursery School
Friends belong (Name) ___________________
Religious School
Desire to be involved in a Jewish community
Family relationship with synagogue
Interested in learning and growing Jewishly
Neighborhood location
Other _____________________________________
How did you hear about us? Referred by a friend
Website
Saw an advertisement about our programs
Kiosk
Came to services
Other ____________________________________
Previous Congregational Affiliation Name of previous congregation and location ________________________________________________________ When? For how long? _______________________________________________________________________________ Were you active in synagogue life? If so, in what capacity? __________________________________________ _____________________________________________________________________________________________________
Other Affiliations Are you involved with other organizations or community institutions? If yes, which ones? Have you held a leadership position (board member, committee chairperson, etc.) in another organization?
Additional Information □ Please add us to the Habonim E-Newsletter list
Can we list your name in our bulletin for □ Birthdays (without year) □ Anniversaries □ Contributions
VOLUNTEER OPPORTUNITIES! “Do not separate yourself from your community.” - Pirkei Avot "The purpose of life is not to be happy - but to matter, to be productive, to be useful, to have it make some difference that you have lived at all." -- Leo Rosten Uncle Sam may want you but Congregation Habonim needs YOU -- to join your fellow members in furthering our mission of building self and community, together. Make a difference and share your time and talents as a Volunteer (full time, part time, any time!) for one or more opportunities listed below. Contact Adina Rifkin (
[email protected] or 212 787 5347 extension 100).
I welcome the opportunity to volunteer/provide assistance in the following areas: Shabbat & Holiday Services
Administration
_____ Reading Torah
_____ Mailing, phone calls, stuffing envelopes
_____ Reading Haftarah
_____ Website
_____ Giving Dvar Torah
_____ Graphic Design
_____ Leading Shabbat Beit Midrash
_____ Computer & Internet
_____ Leading Services
_____ Communications (Bulletin-Newsletter)
_____ Ushering
Community Outreach
Other
_____ Comforting Mourners (Menachem Avalim)
_____ Adult Education
_____ Visiting the Sick (Bikur Cholim)
_____ Israel Action & Affairs
_____ Call or Visit a Member (Bikur Chaverim)
_____ Nursery School
Host a Habonim Member _____ for a Shabbat or Holiday Meal
_____
_____ Queens Community
_____ Sisterhood
Religious School
_____ Brotherhood Membership _____ Public Relations
_____ Social Action _____ Other Suggestions
_____ Marketing _____ Events Planning _____ Fundraising
I/We hereby apply for membership in Congregation Habonim. As a member, I/we agree to abide by the bylaws, rules and regulations of the congregation. Signed Signed Date
