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Erna Krouch Preschool
HIAS- Refugee Resettlement
Membership Application
Please verify reCaptcha before submitting the form.
Complete this application about yourself and any other members of your household who will be included on your Temple membership.
To process your application, we also need to recieve your Fair Share Commitment form which can be filled out online at
https://thetempleokc.shulcloud.com/form/fair-share-commitment-form.html
ADULT MEMBER, HEAD OF HOUSEHOLD (A)
Name
Email
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Title (Mr, Ms, Mrs, Dr, etc)
Hebrew Name (if known)
Preferred Name (if different from above)
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
Birthdate
Cell Phone
Home Phone
Work Phone
Occupation/Title
Workplace/Employer
Marital Status
Spouse Name
Wedding Anniversary
Are you Jewish?
Tell us a little about yourself: Why do you want to join the Temple? Did you grow up Jewish? Have you belonged to other Temples/Synagogues (please list)?
Are you now/have you ever been a member of Emanuel Synagogue in Oklahoma City?
Did you become Bar/Bat/B'nai/B Mitzvah? Were you confirmed? When/where/what Torah portion?
Do you have any restrictions we should be aware of? Anything else you what us to know?
Do you own a cemetery plot? Where? Plot Number?
Check if we may NOT share your family information with the Jewish Federation of Greater Oklahoma City
Check if we may NOT share your family information with the Jewish Federation of Greater Oklahoma City
Please select any activities that may be of interest to you:
Shabbat Evening Services
Shabbat Morning Minyan
Holiday Programs and Services
Adult Hebrew Classes
Introduction to Judaism Classes
Adult Education Programs
Young Family Programs
Brotherhood
Sisterhood
Teaching Hebrew School/Sunday School
Ushering for Services
Volunteer Work- Building, Grounds, etc
Volunteer Work- Administrative
Volunteer Work- Cooking/Baking
Outreach/Event Planning
Social Action Programs
Adult Choir/Music
Please list any other ways you would like to be involved/you would like more information about
ADULT MEMBER, HEAD OF HOUSEHOLD (B)
If applicable
Name
Email
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Title (Mr, Ms, Mrs, Dr, etc)
Hebrew Name (if known)
Preferred Name (if different from above)
Address
City
--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
Birthdate
Cell Phone
Home Phone
Work Phone
Occupation/Title
Workplace/Employer
Are you Jewish?
Tell us a little about yourself: Why do you want to join the Temple? Did you grow up Jewish? Have you belonged to other Temples/Synagogues (please list)?
Are you now/have you ever been a member of Emanuel Synagogue in Oklahoma City?
Did you become Bar/Bat/B'nai/B Mitzvah? Were you confirmed? When/where/what Torah portion?
Do you have any restrictions we should be aware of?
Do you own a cemetery plot? Where? Plot Number?
Please select any activities that may be of interest to you:
Shabbat Evening Services
Shabbat Morning Minyan
Holiday Programs and Services
Adult Hebrew Classes
Introduction to Judaism Classes
Adult Education Programs
Young Family Programs
Brotherhood
Sisterhood
Teaching Hebrew School/Sunday School
Ushering for Services
Volunteer Work- Building, Grounds, etc
Volunteer Work- Administrative
Volunteer Work- Cooking/Baking
Outreach/Event Planning
Social Action Programs
Adult Choir/Music
Please list any other ways you would like to be involved/you would like more information about
CHILD 1
If applicable
Name
Preferred Name (if different from name)
Birthdate
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Grade
Hebrew Name
Name of current school/college
Information about Child 1: Have they become Bar/Bat Mitzvah? Been Confirmed? What is child 1's experience studying Hebrew? Has child 1 been enrolled in Jewish education (Sunday School, Hebrew School, etc) before?
Please select any activities that may be of interest for child 1:
Hebrew School (Grades 3-Bar/Bat Mitzvah)
Sunday School (Pre-K-9th Grade)
Confirmation (10th Grade)
Bar/Bat Mitzvah
Being a Madrich/a (Teacher's Assistant- 11-12th grade)
Erna Krouch Preschool
Tot Shabbat
First Friday of the Month Family Programs
JR. OKATY (6-8th Grade Youth Group)
OKATY (9-12th Grade Youth Group)/ NFTY (North American Federation of Temple Youth)
College Connection (College-aged students)
URJ Greene Family Camp
CHILD 2
If applicable
Name
Preferred Name (if different from name)
Birthdate
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Grade
Hebrew Name
Name of current school/college
Information about Child 2: Have they become Bar/Bat Mitzvah? Been Confirmed? What is child 2's experience studying Hebrew? Has child 2 been enrolled in Jewish education (Sunday School, Hebrew School, etc) before?
Please select any activities that may be of interest for child 2:
Hebrew School (Grades 3-Bar/Bat Mitzvah)
Sunday School (Pre-K-9th Grade)
Confirmation (10th Grade)
Bar/Bat Mitzvah
Being a Madrich/a (Teacher's Assistant- 11-12th grade)
Erna Krouch Preschool
Tot Shabbat
First Friday of the Month Family Programs
JR. OKATY (6-8th Grade Youth Group)
OKATY (9-12th Grade Youth Group)/ NFTY (North American Federation of Temple Youth)
College Connection (College-aged students)
URJ Greene Family Camp
CHILD 3
If applicable
Name
Preferred Name (if different from name)
Birthdate
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Grade
Hebrew Name
Name of current school/college
Information about Child 3: Have they become Bar/Bat Mitzvah? Been Confirmed? What is child 3's experience studying Hebrew? Has child 3 been enrolled in Jewish education (Sunday School, Hebrew School, etc) before?
Please select any activities that may be of interest for child 3:
Hebrew School (Grades 3-Bar/Bat Mitzvah)
Sunday School (Pre-K-9th Grade)
Confirmation (10th Grade)
Bar/Bat Mitzvah
Being a Madrich/a (Teacher's Assistant- 11-12th grade)
Erna Krouch Preschool
Tot Shabbat
First Friday of the Month Family Programs
JR. OKATY (6-8th Grade Youth Group)
OKATY (9-12th Grade Youth Group)/ NFTY (North American Federation of Temple Youth)
College Connection (College-aged students)
URJ Greene Family Camp
CHILD 4
If applicable
Name
Preferred Name (if different from name)
Birthdate
Personal Pronouns (i.e. He/him, She/her, They/them, etc)
Grade
Hebrew Name
Name of current school/college
Information about Child 4: Have they become Bar/Bat Mitzvah? Been Confirmed? What is child 4's experience studying Hebrew? Has child 4 been enrolled in Jewish education (Sunday School, Hebrew School, etc) before?
Please select any activities that may be of interest for child 4:
Hebrew School (Grades 3-Bar/Bat Mitzvah)
Sunday School (Pre-K-9th Grade)
Confirmation (10th Grade)
Bar/Bat Mitzvah
Being a Madrich/a (Teacher's Assistant- 11-12th grade)
Erna Krouch Preschool
Tot Shabbat
First Friday of the Month Family Programs
JR. OKATY (6-8th Grade Youth Group)
OKATY (9-12th Grade Youth Group)/ NFTY (North American Federation of Temple Youth)
College Connection (College-aged students)
URJ Greene Family Camp
Sat, November 16 2024
15 Cheshvan 5785
Upcoming events
Sat, November 16 2024 15 Cheshvan 5785