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Membership Application
Please verify reCaptcha before submitting the form.
I/We wish to become a member of Chicago Sinai Congregation.
Please complete this application. The information you furnish will be strictly confidential. It is intended for our records and to help us better serve you and your family.
Adult 1 Information
Title
*
First Name
*
Last Name
Suffix
Email
Mobile
Date of Birth
Gender Identity
Gender Pronoun
Religious Background
Occupation/Profession
Business Name
Business Phone
Adult 2 Information
Title
First Name
Last Name
Suffix
Email
Mobile
Date of Birth
Gender Identity
Gender Pronoun
Religious Background
Occupation/Profession
Business Name
Business Phone
Account Information
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip
Home Phone
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Anniversary Date
What Brings You to Sinai?
Previous Congregational Affiliations?
Relatives and/or Friends who are Members of Sinai?
Child(ren) Information
Please fill in the following information as it applies to each of your children under the age of 26.
CHILD 1
CHILD 2
CHILD 3
Name
Name
Name
Birthdate
Birthdate
Birthdate
Name of school
Name of school
Name of school
Grade (Secular School)
Grade (Secular School)
Grade (Secular School)
Gender Identity
Gender Identity
Gender Identity
Email
Email
Email
I am interested in enrolling my child(ren) in Religious School.
I am interested in enrolling my child(ren) in Religious School.
Do you have children who are 21 and older? If yes, please share their name, email address and address below.
Name
Email
Address
Name
Email
Address
Yahrzeit Observation
We will be pleased to notify you of the yahrzeit dates of your loved ones. If you have more than four yahrzeits, please contact Tia Rashke in the temple office:
trashke@chicagosinai.org
, 312-867-7000.
Deceased's Name
Deceased's Name
Deceased's Name
Deceased's Name
Relative Of
Relative Of
Relative Of
Relative Of
Relationship to Member
Relationship to Member
Relationship to Member
Relationship to Member
Date of Death
Date of Death
Date of Death
Date of Death
English Observance
Hebrew Observance
English Observance
Hebrew Observance
English Observance
Hebrew Observance
English Observance
Hebrew Observance
Opportunities for Engagement
Chicago has a proud tradition of member involvement. Please take a moment to review these opportunities and check those that are of special interest to you. We will connect you to the appropriate person so you can learn more.
WORSHIP
Special Holidays
Tot Shabbat
Adult Volunteer Choir
LEARN
Preschool
Religious Education
Adult Education
ACT
Family Volunteering Projects: Lincoln Park Community Services & Share Our Spare
Adopt a School: Blessing in a Backpack and volunteering at Ogden/Jenner
Social Justice Trips
Sunday Suppers at 4th Presbyterian Church
Immigrant and Refugee Volunteering
Advocacy: RAC-IL, Gun Violence, Immigrant and Refugee Rights, and Mental Health Access
Stone Temple Community Garden
ENGAGE
Families with young children
LINK Young Adults (20s/30s)
Soon-To-Be/Recent Empty Nester
60s and Beyond
Women of Sinai
Interfaith Families
Membership Type
Membership in Chicago Sinai Congregation is your way of saying that our values and the programs we offer are important to you and your family. We ask all members to contribute accordingly to the enclosed dues schedule reflecting the financial resources of individuals and families at different stages of life.
Please choose your membership:
Individual Household: Age 35 and Under
Individual Household: 36-39
Individual Household: 40+
Family Household: Age 35 and Under
Family Household: 36-39
Family Household: 40+
Sustainers: Benefactor: Above and beyond membership dues
Sustainers: Patron: Above and beyond membership dues
Sustainers: Pillar: Above and beyond membership dues
Wedding Couple
Associate: Appiles to individual(s) who pays full dues to another Union for Reform Judaism Congregation. High Holy Day Cards of Admission can be procured through reciprocity.
Out of State: Membership applicable for anyone who lives outside of Illinois for 6+ months out of the year.
I/we agree that Chicago Sinai Congregation can use my/our photo in any printed or digital materials unless I/we revoke this consent in writing. Shabbat services and the 5PM, 8PM, and 11AM High Holy Day services at Sinai will be live streamed.
The Congregation makes every effort to respond to the concerns of members with financial needs in formulating a level of support that is both comfortable and appropriate. Members with financial needs should contact Jan Kaufman, Director of Development and Head of Operations, at
jkaufman@chicagosinai.org
or 312.867.7000 for more information.
Mon, March 20 2023
27 Adar 5783
Mon, March 20 2023 27 Adar 5783
