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Soup Kitchen Celebrates 20 Years of Service to the Community and Honors the Rabbi Peter and Elaine Knobel Soup Kitchen
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Beth Emet Community Retreat Dec 6 – 8
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MyBethEmet/Member Directory
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A Reform Synagogue Beyond Labels
No one can ever put us in a box, because we will always be a circle of friends.
MEMBERSHIP APPLICATION
Welcome to Beth Emet!
We are so pleased to welcome you to our community and look forward to getting to know you. Beth Emet is a vibrant, diverse and caring community, and we encourage you to get involved in ways that feel meaningful to you. Please share some information about yourself here so we can get to know you.
Please note that financial information will be kept confidential. If you wish to have a private discussion about payment options or any other matter, please contact Executive Director
Jody Litwack
or by calling 847-869-4230. Thank you!
Adult Member
Title
Please select...
Mr.
Ms
Mrs.
Dr.
Other
First Name
Last Name
Nickname
Gender
Please select...
Male
Female
Genderqueer/Non-Binary
Preferred Pronoun
Please select...
He / Him
She / Her
They / Them
Ze / Zir
Hebrew Name (if known)
Birth date
Mobile
Email
Occupation
Please select...
ACCOUNTANT
ACTUARY
ACUPUNCTURIST
ADMINISTRATIVE ASSISTANT
ADVERTISING
ARCHITECT
ARTIST
ATTORNEY
BANKER
BIOCHEMIST
BOOK DEALER
BOOKKEEPER
BOTANIST
BUSINESS
CAMP DIRECTOR
CANTOR
CARPENTER
CEO
CFO
CHEF
COMMUNICATIONS PERSONNEL
CONSULTANT
CONTRACTOR
COPYWRITER
COUNSELOR
COURIER
CUSTOMER SERVICE
DANCER
DECORATOR
DENTAL HYGENIST
DENTIST
DEVELOPMENT / FUNDRAISING
DIETICIAN
DIRECTOR
ECONOMIST
EDITOR
EDUCATION ADMINISTRATOR
EDUCATOR
ELECTRICIAN
ELECTROLOGIST
ENGAGEMENT / COMMUNITY
ENGINEER
ENTREPRENEUR
ENVIRONMENT PLANNER
EVENT PLANNER
EXECUTIVE ASSISTANT
EXECUTIVE DIRECTOR
FACILITY MANAGER
FILMMAKER
FILM PRODUCER
FINANCE
FINANCIAL ANALYST
FINANCIAL CONSULTANT
FIREFIGHTER
FITNESS
FLORIST
FUNDRAISER
GRANT WRITER
GRAPHIC DESIGNER
HANDYMAN
HOMEMAKER
HOSPITAL ADMINISTRATOR
HUMAN RESOURCES
ILLUSTRATOR
INFORMATION TECHNOLOGY
INSPECTOR
INSTRUCTOR
INSURANCE
INTERIOR DESIGNER
INVESTMENT ADVISOR
JEWELER
JOURNALIST
JUDGE
LANDSCAPER / GARDENER
LIBRARIAN
MAINTENANCE
MANAGEMENT CONSULTANT
MANUFACTURING
MARKETING
MARKET RESEARCH
MASSAGE THERAPIST
MEDIA TECHNICIAN
MEDICAL TECHNICIAN
METEOROLOGIST
MORTGAGE BROKER
MUSEUM
MUSICIAN
NANNY
NURSE
NUTRITIONIST
OCCUPATIONAL THERAPIST
OFFICE MANAGER
OPTHAMOLOGIST
OPTOMETRIST
ORGANIZER
ORTHOPEDIC SURGEON
ORTHOTICS AND PROSTHETICS
PARALEGAL
PARAMEDIC
PERSONNEL
PHARMACEUTICAL
PHARMACIST
PHOTOGRAPHER
PHYSICAL THERAPIST
PHYSICIAN
PHYSICIST
PIANIST
PLANNER
PODIATRIST
POET
POLICE OFFICER
POLITICIAN
PRINCIPAL
PRINTER
PRODUCER
PROFESSOR
PROGRAM MANAGER
PROJECT MANAGER
PSYCHIATRIST
PSYCHOLOGIST
PSYCHOTHERAPIST
PUBLIC RELATIONS
PUBLISHER
PURCHASING AGENT
RABBI
RADIO
RADIOLOGIST
READING SPECIALIST
REAL ESTATE DEVELOPER
REALTOR
RECEPTIONIST
RECRUITER
RECYCLER
REPORTER
RESEARCH
RESTAURANT OWNER
RETAIL
RETIRED
ROOFER
SALES
SCIENTIST
SECRETARY
SIGN LANGUAGE
SOCIAL WORK
SPEECH THERAPIST
SPORTS
STORE OWNER
STORYTELLER
STUDENT
SUBSTITUTE TEACHER
SUPERVISOR
TAX CONSULTANT
TAXI
TEACHER
TEACHER AIDE
TECHNICIAN
TECHNOLOGY
TELECOM
TELEVISION
TELLER
THEATER
THERAPIST
TRADER
TRAINER
TRANSLATOR
TRANSPORTATION
TRAVEL
TREASURER
TUTOR
UNION NEGOTIATOR
VETERINARIAN
VICE PRESIDENT
WAITER
WINE IMPORTER
WRITER
YOGA INSTRUCTOR
OTHER
Retired
Please indicate occupation when you were working
x
Other, if one of the choices does not apply
Speciality
Personal Status
Single
Married
Life Partner
Engaged
Divorced
Widowed
Other
Religious Background in which you were raised
Please select...
Reform
Conservative
Orthodox
Secular
Reconstructionist
Traditional
Jewish by Choice
Not Jewish
Other
Do you read Hebrew?
Please select...
Yes
No
Do you read/chant Torah?
Please select...
Yes
No
Other
Year of Conversion
So we may better accommodate your needs, please share any physical limitations:
Vision Impairment
Hearing Impairment
Mobility
Other
Please share anything else you would like us to know:
Contact Information
How would you like your formal name to appear on printed materials (e.g. Diane and David Goldstein)
How would you like your informal greeting to appear on nametags, etc. (e.g. Diane and David)
Anniversary / Wedding Date
Home Address
City
State
Please select...
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
Cell Phone
Were You Affiliated with Another Congregation?
Please select...
Yes
No
Which Congregation(s)?
Would you like to arrange a personal meeting with our Rabbi?
Please select...
Yes
No
May we publish your name, address, telephone number, and email address in the Beth Emet Membership online directory?
Please select...
Yes
No
Page 2
Do you have child(ren) under 26-years-old?
Please select...
Yes
No
Child Information
First Name
Last Name
Nickname
Birth Date
Cell
Email Address
Gender
Please select...
Male
Female
Genderqueer/Non-Binary
Preferred Pronouns
Please select...
He / Him
She / Her
They / Them
Ze / Zir
Hebrew Name
Are you interested in Beit Sefer (religious school grades Pre-K through 8)? If you respond yes to this question, our religious school liaison will reach out to you.
Please select...
Yes
No
Has Your Child Attended Another Religious School?
Please select...
Yes
No
Which School(s)
Name of Secular School
Grade in School (17 and younger)
Anticipated High School Grad Year
Are there any accommodations that we should be aware of?
Please select...
Yes
No
Please share anything else you would like us to know:
Page 3
Referral Information
How did you hear about us?
Referred by
Website
Social Media
Jewish Publication
Live in neighborhood
Other
What most interests you about joining Beth Emet?
Friends and Relative Information
Please list any close friends or relatives who are members of the Beth Emet community and their relationship to you (i.e. Sarah Cohen/Steven's Cousin)
Name(s)/Relationship
Yahrzeit (Memorializing Loved Ones)
Name to be Remembered
Relation and to Whom
How to Observe:
Please select...
Secular Date
Hebrew Date
Date of Death
Time of Death:
Before Sunset
After Sunset
Page 4
Finding Your Place at Beth Emet The Free Synagogue
We have a multitude of programs and committees that will allow you to find a deep and personal connection within our community. Whether you are interested in meeting new people, continuing your Jewish education, volunteering your time, or discussing Jewish text in an informal setting, Beth Emet offers ways to become engaged and make a meaningful difference in your life and the life of the community. To help us understand how you wish to get involved, please consider sharing any skills, hobbies or interests you have that might be shared with the congregation through our programming, religious school, adult education or worship:
Name
Name
Interests/talents (e.g. art, travel. opera)
Accounting / Finance
Archiving / Library
Arts
Baking / Cooking
Caring for Sick or Elderly
Communication / Social Media
CPR Training
Driving for Deliveries
Environmental Causes
Event Planning
Graphic Design
Group Facilitation
Interfaith Issues
Jewish Education
Knitting
Legal pro-bono work
LGBTQ Issues
Mindfulness
Movies
Music (Instruments)
Office Work
Photography
Purim Shpiel - Writing and/or Performing
Quilting
Reading
Singing
Story Telling
Technology
Theater
Writing/Editing
Interests/talents (e.g. art, travel. opera)
Accounting / Finance
Archiving / Library
Arts
Baking / Cooking
Caring for Sick or Elderly
Communication / Social Media
CPR Training
Driving for Deliveries
Environmental Causes
Event Planning
Graphic Design
Group Facilitation
Interfaith Issues
Jewish Education
Knitting
Legal pro-bono work
LGBTQ Issues
Mindfulness
Movies
Music (Instruments)
Office Work
Photography
Purim Shpiel - Writing and/or Performing
Quilting
Reading
Singing
Story Telling
Technology
Theater
Writing/Editing
Adult 1
Adult Kabbalat Mitzvah (B'nai Mitzvah)
Adult Education
Choir
College Outreach
Communications
Environment
Fundraising
Inclusion (e.g. Jews of Color, Disabilities, LGBTQ+)
Interfaith
Israel
Membership
Music / Band
Racial Justice
Shabbat Connections (Shabbat Dinner)
Shiva Minyan Leader
Social Justice (Advocacy, Direct Service or Tzedekah)
Soup Kitchen
Technology
Teen Programming
Tzedekah Committee
Usher / Greeter
Young Family Programming
Adult 2
Adult Kabbalat Mitzvah (B'nai Mitzvah)
Adult Education
Choir
College Outreach
Communications
Environment
Fundraising
Inclusion (e.g. Jews of Color, Disabilities, LGBTQ+)
Interfaith
Israel
Membership
Music / Band
Racial Justice
Shabbat Connections (Shabbat Dinner)
Shiva Minyan Leader
Social Justice (Advocacy, Direct Service or Tzedekah)
Soup Kitchen
Technology
Teen Programming
Tzedekah Committee
Usher / Greeter
Young Family Programming
Once we learn about your interests, you will be contacted regarding future projects, events and meetings. Watch for EmetMail, our weekly eNewsletter and the annual Synagogue bulletin, known as the
Chadashon
, to learn about upcoming programs.
Page 5
Membership Commitment
Our fiscal year runs from July 1 through June 30. Upon completion of this form, we will create a member account for you on the Beth Emet website. You will receive an email notification with access information. Through this portal, you may access your account and other information. If you would like to set up auto-payments for your account, please contact Finance Manager Debbie Gilbert at dgilbert@bethemet.org.
New Member Rate is a three year "ramp up:"
First year is $100 per month / $1,200 per year.
Second Year is as follows:
Households with 2 adults over the age of 40 - $200 per month or $2,400 per year
Households with 1 adult over the age of 40 - $142 per month or $1,700 per year
Households with 2 adults over the age of 70 - $167 per month or $2,000 per year
Households with 1 adult over the age of 70 - $125 per month or $1,500 per year
Third year is full the full membership commitment.
If you are
40 and younger* we have a "set your own membership commitment" program
where you may determine what feels most meaningful to you. The suggested amount is $100 per month ($1,200 per year) for the first year, and $150 per month ($1,800) for subsequent years (until the age of 40).
*
40 and younger is defined as the age of the oldest member of the household.
We welcome members regardless of financial ability. If you need to discuss the membership commitment or make a payment arrangement, please contact Jody Litwack, Executive Director by
email
or call 847-869-4230.
Building Reserve Fee:
All member households are billed a $200 building reserve fee, and for new members this begins in year 3. This fee supports capital improvements and serves as a "rainy day fund" to ensure that Beth Emet continues to maintain our building systems and is able to respond responsibly when emergency repairs are needed.
Safety and Security Fee
: All member households are billed a safety and security fee, and for new members this begins in year 3. This fee ensures that we continue to responsibly address the ever-changing environment that requires improved security protocols and facility safety and security improvements.
Please share other information you would like us to know:
Beth Emet The Free Synagogue ~ 1224 Dempster Street ~ Evanston, IL 60202 ~ 847-869-4230
Contact Information