TNT Membership Application 2023-2024 - Form

Welcome to Temple Ner Tamid! We are delighted that you are becoming a member. We encourage involvement and the information below will facilitate your engagement with our community.

Please complete this form, and provide your minimum deposit as described below to complete the application process. If you have any questions about this form or payment options, please contact our Director of Operations and Events, Laurie Schifano at (973) 338-1500 x135 or lschifano@nertamid.org. If you have questions about membership, please contact our Executive Director, Michelle W. Malkin at mwmalkin@nertamid.org or (973) 338-1500 x111.

Primary Member's Information:

* Primary Adult First Name

* Primary Adult Last Name

Preferred Name

* Date of Birth

* Primary Adult Email

Mobile Phone

Gender

Gender Pronoun

She/Her/HersHe/Him/HisThey/Them/Theirs

Other Gender Pronoun:

* Primary Street Address

Apt. #

* City

* State

* Zip

I would be open to hosting an event/gathering at this home.

If so, what is the maximum number of people you could accommodate inside?

If so, what is the maximum number of people you could accommodate outside?

* Marital Status

If married, Anniversary

* Tradition in which this member was raised

Primary Member's Hebrew Name

Primary Member's Occupation

Primary Member's Business Name

What attracted you to Temple Ner Tamid?

What special skills / knowledge would you like to share with the community?

Secondary Member/Spouse/Partner's Information:

Secondary Member's First Name

Secondary Member's Last Name

Preferred Name

Date of Birth

Gender

Gender Pronoun

She/Her/HersHe/Him/HisThey/Them/Theirs

Other Gender Pronoun:

Secondary Member Email

Mobile Phone

Tradition in which this member was raised

Primary Member's Hebrew Name

Secondary Member's Occupation

Secondary Member's Business Name

What attracted you to Temple Ner Tamid?

What special skills / knowledge would you like to share with us?

Child/ren Information:

Child #1 First and Last Name

Child #1 Hebrew Name

Date of Birth

Child #1 Current Grade

Child #1 Current School

Are you enrolling in Religious School?

YesNo

Gender

Gender Pronoun

She/Her/HersHe/Him/HisThey/Them/Theirs

Child #2 First and Last Name

Child #2 Hebrew Name

Date of Birth

Child #2 Current Grade

Child #2 Current School

Are you enrolling in Religious School?

YesNo

Gender

Gender Pronoun

She/Her/HersHe/Him/HisThey/Them/Theirs

Child #3 First and Last Name

Child #3 Hebrew Name

Date of Birth

Child #3 Current Grade

Child #3 Current School

Are you enrolling in Religious School?

YesNo

Gender

Gender Pronoun

She/Her/HersHe/Him/HisThey/Them/Theirs

Contact me for additional children's information.

Most recent synagogue affiliation (if any)

Include the Temple name and city/state

Yahrzeit Information

Full Name of Deceased

Relationship to Whom

i.e. grandmother of Jane Doe

Date of Death

Time of Day

Before SundownAfter Sundown

Full Name of Deceased

Relationship to Whom?

i.e. grandmother of Jane Doe

Date of Death

Time of Day

Before SundownAfter Sundown

Full Name of Deceased

Relationship to Whom

i.e. grandmother of Jane Doe

Date of Death

Time of Day

Before SundownAfter Sundown

Full Name of Deceased

Relationship to Whom

i.e. grandmother of Jane Doe

Date of Death

Time of Day

Before SundownAfter Sundown

Contact me for additional Yahrzeit Observances.

I/We wish to observe the

Gregorian CalendarHebrew Calendar

Financial Commitments:

The 2023-2024 fiscal year starts June 1, 2023 and ends on May 31, 2024. Members joining between June 1st and January 1st are responsible for a full year’s dues. Members joining after January 1st pay one-half of the fiscal year’s dues.

2023-2024 Dues Categories:

♦ Family Membership (2 adults regardless of religious affiliation with or without children) $3,300
♦ Single Membership (1 adult with or without children) $1,850
♦ Senior Fixed Income Membership (2 adults 65 or over who are on a fixed income) $1,400
♦ Senior Fixed Income Single Membership (1 adult 65 or over who is on a fixed income) $800
♦ Shoresh Family (for those currently enrolled in Shoresh Preschool, building fund and security fee contributions are required) FREE

*First-time members with children enrolled in religious school receive a 50% reduction in dues for their first year of membership. This discount will be applied once you register your child in religious school.

BUILDING FUND
All new members pay $3,000 towards Temple Ner Tamid’s building fund. This may be paid over six (6) years at a minimum of $500 per year. If you can provide records of comparable contributions to another synagogue’s building fund (such as a letter to us from that synagogue), all or part of this responsibility can be waived.

SECURITY FEE
All members are required to pay an annual security fee of $250.

* Select your Membership Type

Please Select OneFamily Membership (2 Adults with or without children)Single Membership (1 Adult with or without children)Senior Family Fixed Income Membership (2 Adults)Senior Fixed Income Single Membership (1 Adult)Shoresh Family (enrolled in Shoresh Preschool)Your Membership Dues, Building Fund and Temple Security charges will be posted to your account once your membership is processed.

Request for Membership Dues Adjustment

Request for Membership Dues AdjustmentWe commit to being a community that fully supports all our members. Financial circumstances should never keep anyone from joining our community. Should you need to request a dues adjustment, choose a membership type above AND click the above box. You can also reach out directly to Michelle W. Malkin, our Executive Director, to begin the confidential process.

Is there any other important information you wish to share with us?

Is there anything specific we can do at Temple Ner Tamid to help you and your family integrate into our community?

Does your family have any accessibility needs we can accommodate?

I/We hereby apply for membership in Temple Ner Tamid and agree to abide by its Constitution, a copy of which is available in the Temple office.

* Electronic Signature Adult #1

Date

Electronic Signature Adult #2

Date