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Membership Application
Please verify reCaptcha before submitting the form.
Welcome to Congregation Kol Emeth. We are delighted you have chosen to become part of our community. Please call our office at (650) 948-7498 or email us at
office@kolemeth.org
if you have any questions or need assistance in filling out this application.
*
Adult 1 - First Name
*
Adult 1 - Last Name
*
Adult 1 - Gender
N/A or Unknown
Male
Female
*
Adult 1 - Date of Birth
*
Adult 1 - Hebrew Name
Transliterated
*
Adult 1 - Are you a Cohen, Levi or Yisrael?
Cohen
Levi
Yisrael
None Set
Adult 1 - Date of Marriage
If Applicable
Adult 1 - Last Synagogue Affiliation and Location
*
Adult 1 - Email Address
*
Adult 1 - Mobile Phone
Adult 1 - Home Phone
*
Adult 1 - Would you like to receive KE email notices?
Please Select One
Yes
No
Please describe why
Kol Emeth uses email as its main form of communication. Please let us know why you have chosen not to receive these communications from us. You can unsubscribe from our announcements at any time.
*
Adult 1 - Occupation
Adult 1 - Employer
Adult 1 - Work Phone
*
Adult 1 - Address
*
Adult 1 - City
*
Adult 1 - 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
*
Adult 1 - Zip Code
Adult Education
Daily Minyan
Home Based Activities
Israel Action Committee
Social Programs
Over 55 programming
Religious School/Youth Education
Social Action/Tikun Olam
Shabbat and Holiday Services
Young Adult programming
Youth Groups
Chesed
High Holidays
Host KE small groups in your home
Purim (Mishloach Manot, Carnival)
Shabbat Greeters
Social Events
Youth Education
Adult 1 - Do you have any special skills, interests or expertise you would like to contribute to the congregation?
Adult 1 - Do you require any special accommodations?
i.e. Wheelchair Ramp, Allergies, etc.
Adult 1 - What attracted you to Kol Emeth?
Do you live within a 10 minute drive of Kol Emeth?
Please Select One
Yes
No
Would you be interested in joining the Minyan WhatsApp group?
Please Select One
Yes
No
We have a small WhatsApp group of people who live near the synagogue who would be willing to get a text if there isn't a minyan.
*
Is there a second adult applying for Membership?
Please Select One
Yes
No
*
Adult 2 - First Name
*
Adult 2 - Last Name
*
Adult 2 - Gender
N/A or Unknown
Male
Female
*
Adult 2 - Date of Birth
*
Adult 2 - Hebrew Name
Transliterated
*
Adult 2 - Are you a Cohen, Levi or Yisrael?
Cohen
Levi
Yisrael
None Set
Adult 2 - Date of Marriage
If Applicable
*
Adult 2 - Email Address
*
Adult 2 - Mobile Phone
*
Adult 2 - Home Phone
*
Adult 2 - Would you like to receive KE email notices?
Please Select One
Yes
No
Please describe why
Kol Emeth uses email as its main form of communication. Please let us know why you have chosen not to receive these communications from us. You can unsubscribe from our announcements at any time.
*
Adult 2 - Occupation
Adult 2 - Employer
Adult 2 - Work Phone
Adult Education
Daily Minyan
Home Based Activities
Israel Action Committee
Social Programs
Over 55 programming
Religious School/Youth Education
Social Action/Tikun Olam
Shabbat and Holiday Services
Young Adult programming
Youth Groups
Chesed
High Holidays
Host KE small groups in your home
Purim (Mishloach Manot, Carnival)
Shabbat Greeters
Social Events
Youth Education
Adult 2 - Do you have any special skills, interests or expertise you would like to contribute to the congregation?
Adult 2 - Do you require any special accommodations?
i.e. Wheelchair Ramp, Allergies, Etc.
Adult 2 - What attracted you to Kol Emeth?
If different from Adult 1.
*
How many children under 26 live in the family home?
Please Select One
One child
Two children
Three children
Four (or more) children
None
*
Child 1 - First Name
*
Child 1 - Last Name
*
Child 1 - Hebrew Name
*
Child 1 - Gender
*
Child 1 - Date of Birth
*
Child 1 - Name of School
*
Child 1 - Anticipated year of high school graduation
If your child has already graduated high school, please enter the date they did so.
Child 1 - Email
Child 1 - Mobile Phone
Child 1 - Special Interests/Hobbies
Child 1 - Special needs or accommodations
Including allergies, wheelchair ramp access,etc.
*
Child 2 - First Name
*
Child 2 - Last Name
*
Child 2 - Hebrew Name
*
Child 2 - Gender
*
Child 2 - Date of Birth
*
Child 2 - Name of School
*
Child 2 - Anticipated date of high school graduation
If your child has already graduated high school, please enter the date they did so.
Child 2 - Email
Child 2 - Mobile Phone
Child 2 - Special Interests/Hobbies
Child 2 - Special needs or accommodations
Including allergies, wheelchair ramp access,etc.
*
Child 3 - First Name
*
Child 3 - Last Name
*
Child 3 - Hebrew Name
*
Child 3 - Gender
*
Child 3 - Date of Birth
*
Child 3 - Name of School
*
Child 3 - Anticipated date of high school graduation
If your child has already graduated high school, please enter the date they did so.
Child 3 - Email
Child 3 - Mobile Phone
Child 3 - Special Interests/Hobbies
Child 3 - Special needs or accommodations
Including allergies, wheelchair ramp access,etc.
*
Child 4 - First Name
*
Child 4 - Last Name
*
Child 4 - Hebrew Name
*
Child 4 - Gender
*
Child 4 - Date of Birth
*
Child 4 - Name of School
*
Child 4 - Anticipated date of high school graduation
If your child has already graduated high school, please enter the date they did so.
Child 4 - Email
Child 4 - Mobile Phone
Child 4 - Special Interests/Hobbies
Child 4 - Special needs or accommodations
Including allergies, wheelchair ramp access,etc.
If you have more than four children you will be able to enter additional children into your account once it's been activated.
Is anyone in your family related to a current member of Kol Emeth?
Any additional things we should know?
Questions/Comments/Concerns/Kvetches?
It is our synagogue’s policy that membership be affordable to all who wish to be members. No one is denied membership at Kol Emeth for financial reasons.
Introductory Membership:
For their first year, all new members will be charged $180 for singles and $360 for families above the cost of non-member High Holidays participation ($280 for singles and $560 for families). This fee will remain in effect until the end of the fiscal year and then will be raised to the standard annual dues. Those new members joining after the High Holidays will be charged the same amount ($460 for singles and $920 for families).
After the first year, the dues structure is:
More information about our membership categories can be found
here
.
*
Choose your Membership Category for your Annual Commitment
Please Select One
Full Family Membership
Single Membership
Senior/Retired Family
Senior/Retired Single
Associate Membership
Young Adults (35-39)
Young Adults (30-34)
Under age 30 or both full time students
I would like to discuss my annual commitment
As a service to the congregation, we would like to remind you when a Yahrzeit of a loved one approaches.
*
How many Yahrzeits you would like to observe.
Please Select One
One yahrzeit
Two yahrzeits
Three yahrzeits
Four (or more) yahrzeits
none
First Name of Deceased
Last Name of Deceased
Hebrew Name
if known
Date of Death
Before/After Sundown
Please Select One
Before Sundown
After Sundown
Relationship to
Please Select One
Adult 1
Adult 2
Relationship
First Name of Deceased
Last Name of Deceased
Hebrew Name
if known
Date of Death
Before/After Sundown
Please Select One
Before Sundown
After Sundown
Relationship to
Please Select One
Adult 1
Adult 2
Relationship
First Name of Deceased
Last Name of Deceased
Hebrew Name
if known
Date of Death
Before/After Sundown
Please Select One
Before Sundown
After Sundown
Relationship to
Please Select One
Adult 1
Adult 2
Relationship
First Name of Deceased
Last Name of Deceased
Hebrew Name
if known
Date of Death
Before/After Sundown
Please Select One
Before Sundown
After Sundown
Relationship to
Please Select One
Adult 1
Adult 2
Relationship
If you have more than four yahresits, you can enter them once your account is activated.
Mon, May 16 2022 15 Iyyar 5782