Membership Application

* Family Name

Phone Number

His Name

Her Name

Address

City

State

ZIP

His e-mail

His cell phone

Her e-mail

Her cell number

His Hebrew Name

Hebrew His Father's Name

Shevet

YisraelLeviCohen

Hebrew His Mother's Name

His Birthday

Her Hebrew Name

Hebrew Her Father's Name

Hebrew Her Mother's Name

Her Birthday

Wedding Anniversary

His Occupation

His Employer

His Employer Address

His Work Phone

Her Occupation

Her Employer

Her Employer Address

Her Work Phone

First Child's Name

First Child's Hebrew Name

First Child's Date of Birth

First Child's School Attending

First Child's Bar/Bat Mitzvah Parasha

Second Child's Name

Second Child's Hebrew Name

Second Child's Date of Birth

Second Child's School Attending

Second Child's Bar/Bat Mitzvah Parasha

Third Child's Name

Third Child's Hebrew Name

Third Child's Date of Birth

Third Child's School Attending

Third Child's Bar/Bat Mitzvah Parasha

Fourth Child's Name

Fouth Child's Hebrew Name

Fourth Child's Date of Birth

Fourth Child's School Attending

Fourth Child's Bar/Bat Mitzvah Parasha

Fifth Child's Name

Fifth Child's Hebrew Name

Fifth Child's Date of Birth

Fifth Child's School Attending

Fifth Child's Bar/Bat Mitzvah Parasha

Additional childrens' names and other information

Yahrzeits Observed:

1. Name of Deceased

1. Hebrew Name of Deceased

1. Relationship

1. Date of Death

2. Name of Deceased

2. Hebrew Name of Deceased

2. Relationship

2. Date of Death

3. Name of Deceased

3. Hebrew Name of Deceased

3. Relationship

3. Date of Death

4. Name of Deceased

4. Hebrew Name of Deceased

4. Relationship

4. Date of Death

Name of Former Synagogue

Former Synagogue's Rabbi's Name

Former Synagogue Address

Former Synagogue Phone Number

Former Synagogue Email

Former Positions Held

Membership Categories:

The membership categories in Congregation Arzei Darom are:

Full Membership entitling one to all privileges and obligations of membership,including voting privileges. Full Membership is available to a family or an individual. If applying for full membership with the Building Fund option, the applicant agrees to pay at least $1,000 each year towards the Building Fund obligation until the entire $8,000 Building Fund has been paid in full.***
New Full Member Introductory Rate entitling one to all privileges and obligations of Full Membership as listed above, with the exception of Simcha rentals/usage. Simcha rentals/usage will be available at the Associate Member rates/guidelines during the first year. The Introductory Rate includes:
1. Discounted first year dues (see rates below)
2. Two (2) non-transferable seats for Rosh Hashanah/Yom Kippur
3. Building fund obligations deferred for one year
Associate Membership is available to any individual or family who is a full member of another synagogue, entitling one to limited privileges

By applying for membership, regardless of level, the applicant(s) agree to accept all membership responsibilities at the level selected on their application and abide by the Bylaws and Constitution (Copy available upon request).

***We encourage anyone, regardless of their current financial abilities, to apply for membership. If a prospective member feels unable to meet the Financial Obligations described above, he or she is encouraged to reach out to the Finance Committee.

	Building Fund	No Building Fund
Full Member Introductory Rate	550	550
Full Member Family	800	1200
Full Member Individual	535	935
Associate Member	N/A	400

I hereby apply to become a Member of Arzei Darom and agree to pay the annuals dues outlined in the table above based on my selections below.

Membership Level

Full MemberFull Member Introductory RateAssociate Member

Membership Type

FamilyIndividual

Building Fund

YesNo

If associate, synagogue (with address) at which we are Full Members:

Please complete application and submit with a check for Membership Dues,
made payable to: Congregation Arzei Darom, 725 Queen Anne Road, Teaneck, NJ 07666

Get Involved – Join a Committee

Adult Education Committee – arranges for Shiurim, classes, lectures, scholar-in-residence programs, and other programs of an educational nature as one-time events and on an ongoing basis.

Building Committee – responsible for all aspects of the construction of our new Shul building, including working with contractors, architects, and lawyers as well as the township.

Chessed Committee – responsible for the various forms of Chessed, including Bikkur Cholim visits; planning meals in times of illness, for Shiva, for new mothers.

Communications Committee – responsible for all forms of communication, including annual membership directory, newsletter, e-nnouncements, and web site.

Constitution Committee – responsible for maintaining the constitution and recommending changes when necessary.

Dinner and Journal Committee – responsible for organizing the annual Shul dinner and accompanying ad journal.

Events / Programming Committee – initiates, plans, and organizes all social events, such as the Purim Chagigah, Bowling Night, Barbecue, and other ideas they come up with.

Facilities Committee – responsible for the “physical plant” of the Shul including upkeep as well as set-up and take-down of room arrangements.

Fund-Raising Committee – responsible for initiating and implementing fund raising projects and campaigns.
Kiddush Committee – responsible for helping people to organize a Kiddush, the set-up and clean-up of each Kiddush, as well as all supplies necessary for Kiddushim, and coordinating sponsors.

Membership Committee – responsible for welcoming new members into the community and managing the application process.

Rituals Committee – responsible for the religious aspects of the Shul, including the davening and laining, customs to be followed, as well as Alliyot.

Sisterhood – responsible for the Mishaloach Manot Project, as well as social and educational events for the benefit of the women of the community, such as the annual tea, boutiques, bake sales, etc.

Youth Committee – responsible for organizing Shabbat and Yom Tov morning youth groups, as well as other educational and social activities for all children of Shul members, up to age 18.

Husband's Committee Interests:

Wife's Committee Interests:

Husband's Previous Committee Experience:

Wife's Previous Committee Experience:

Sponsored by: Miles & Valerie Levin

Sponsored by: Miles & Valerie Levin

Miles & Valerie Levin