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Prospective Membership Application
Please verify reCaptcha before submitting the form.
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
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
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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 Zoe Leff in the main office:
zleff@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
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, and Affordable Housing
Stone Temple Community Garden
ENGAGE
Families with Young Children
Women of Sinai
Young Adults
Sinai Tables
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. Review the 2023-2024 dues schedule by
clicking here
.
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
Out of State: Membership applicable for anyone who lives outside of Illinois for 6+ months out of the year.
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,
Executive Director
, at
jkaufman@chicagosinai.org
or 312.867.7007 for more information.
Fri, April 19 2024
11 Nisan 5784
Fri, April 19 2024 11 Nisan 5784
