New Member Application and Pledge Form - Form

* Have you been a member of OZ before?

Welcome back! Since you indicated you are a past member, please stop here, log in to your account and fill out our membership renewal form. If you need help with Shulcloud, please see the documentation here.

* First Name

* Last Name

Pronouns (optional)

* Email Address

Used to sign in to your OZ online account & receive OZ messages. Please provide an address you check regularly.

* Mobile Phone

If you don't have a mobile phone, please enter home phone number here.

Home Phone

I am best reached by...

PhoneTextEmail

* Birthday

* Home Address

Please include apartment or unit numbers. Ex: 221 Baker St. Unit B

* City

* State

* ZIP Code

How did you hear about OZ and why did you choose this synagogue?

* Please tell us about you, your relationship with Judaism and your goals in joining OZ

* We are proud to be an inclusive & diverse community! Please select the option that best describes you:

* Other Description:

* Occupation

Employer Name

For students, please list your school.

This Employer Matches Donations

Please select your interests from the options below.
This will help us connect you with relevant programming, people and information.

Other area(s) of interest not listed above:

We ask that each member / family volunteers with OZ to the best of their ability. Please select the volunteer area(s) that interest you.

Other area(s) in which you would be willing to volunteer:

* Do you have a spouse or partner?

Spouse / Partner Information

* First Name

* Last Name

Pronouns (optional)

* Email Address

Used to sign in to their OZ online account & receive OZ messages. Please provide an address they check regularly. :)

* Mobile Phone

If you don't have a mobile phone, please enter your home phone here.

Best reached by...

EmailPhone CallText Message

* Birthday

Tell us anything you'd like to share about your spouse/partner and their connection to Judaism and participating at OZ

* Please select the option that best describes your spouse/partner:

* Occupation

Employer Name

This Employer Matches Donations

Please select your partner's / spouse's interests from the options below.
This will help us connect them with relevant programming, people and information.

Other area(s) of interest not listed above:

Please select the volunteer area(s) that interest your spouse/partner.

Wedding / Civil Union Anniversary Date

* Do you have children?

Details about your children:

* Will you be enrolling student(s) in Jewish Journeys?

Child(ren) Information

* Please list the names of all children in your household, along with their birthdays (MM/DD/YY) and school (or occupation/location, if no longer in school).

Example: Sarah Silverman, 4/13/2006, Burlington High School

* Please indicate interest in the following for your child(ren):

Full Circle PreschoolJewish JourneysJewish Journeys 6th and 7th grade program (2 year alternative Hebrew School program)OZ's Nadav Teen ProgramOZ Summer Day Camp for 5-9 year oldsNo interest in programs for my child(ren)Other (Specify Below)

Other area(s) of interest for your child(ren)

Previous Synagogue (If Applicable) Name/Location/Denomination

In applying to be a member of Ohavi Zedek, I/we agree to:

-- Support and respect ourselves, our community and our spaces.
-- Contribute time, talent and resources to support the success and growth of OZ's community
-- Be open to learn, share and connect within our community

* Applicant Signature

* Date

Second Adult Signature (If Applicable)

Date

If we all contribute at these levels, our annual budget goals would be met! That said, we know that for some, these amounts may not be possible and for others, even more may be possible. Please give at a level that works for you, your generosity impacts all of us.

* Enter your membership dues amount for the year ending June 30.

If all adults in your household are age 29 or younger, no membership pledge is required.

This required contribution supports our buildings, new technology and safety.

$180 Facilities & Security required contribution$18 Facilities & Security contribution for households with all adults age 29 and under

Summary

Total (Membership + Facility and Security)

* Would you like to sign up to "auto-renew" annually?