Join Us

Congregation Sha’arey Israel members pride themselves on being part of a friendly, vibrant, ‘hamish’, multi-generation congregation. Jews from a variety of different backgrounds and from all over Middle Georgia have found a spiritual home at CSI.

We truly appreciate your interest in Congregation Sha’arey Israel and we look forward to having an opportunity to meet with you and introduce you to the CSI Family. If you would like more information on membership please contact or call 478-745-4571 and someone from our membership committee will be happy to answer your questions.

CSI Membership Application

You can complete the online application below, or download the application as a PDF file to complete and email to . The information that you share with us is used for administrative purposes and is completely confidential.

"*" indicates required fields

Membership Type*

I am applying for:

Single membership

Family membership

Personal Information

Adult #1 - Name*

Prefix Mr.Mrs.Ms.Dr. First Last

Adult #1 - Email*

Adult #1 - Cell Phone*

Adult #1 - Date of Birth*

Adult #1 - Marital Status*

SelectMarriedSinglePartnerDivorcedWidow(er)

Adult #1 - If married, your anniversary date and year:

Adult #1 - Hebrew Name*

Please include yours, your mother's, and your father's

Adult #1 - Are you a:*

Kohen

Levi

Yisrael

Not sure

Adult #2 - Name

Prefix Mr.Mrs.Ms.Dr. First Last

Adult #2 - Email

Adult #2 - Cell Phone

Adult #2 - Date of Birth

Adult #2 - Hebrew Name

Please include yours, your mother's, and your father's

Adult #2 - Are you a:

Kohen

Levi

Yisrael

Not sure

Mailing Address*

Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code

Is it correct to assume that both adults are Jewish?

Yes

No

If not, please indicate which is Jewish:

Adult #1

Adult #2

Prior Synagogue Affiliations

(name of congregation, city, state)

Work Information

Adult #1 - Occupation*

Adult #2 - Occupation

Adult #1 - Business Name*

Adult #2 - Business Name

Adult #1 - Business Address*

Adult #2 - Business Address

Child Information

Children living at home/college students

Name

Hebrew Name

M or F

Date of Birth

 

Add Remove

Married/independent children

Name

Hebrew Name

M or F

Date of Birth

 

Add Remove

Will your children be attending our religious school?

Yes

No

Other Information

Yahrzeits

We will notify you every year of the dates that significant relatives of yours have died. Please list such relatives here. If you do not know the Hebrew date, we can figure it out for you.

Name

Hebrew Name

Relationship

English Date of Death

Before/After Sunset

Hebrew Date of Death

 

Add Remove

Do you currently own cemetery plots?*

Yes

No

If yes, where?

Do you wish to discuss purchasing plots in our cemetery at this time?

Yes

No

Are there any special needs in your family of which we should be aware?

What are your expectations of synagogue affiliation?

Annual Household Income*

Membership dues allow Congregation Sha’arey Israel to maintain the quality of our congregation’s many activities and are fully tax deductible. For the purpose of establishing a dues structure that reflects your family’s comfort level without being burdensome, we ask:

0 - $40K

$40K - $75K

$75K - $125K

+$125K

Adult #1 - Interests

The more you are involved in synagogue life, the more you will benefit from your membership. Therefore we urge you to explore some of these activities. Please check all that interest you so that we may contact you with appropriate information.

Adult Education

Religious School

Choir

Library

Social Action

Fundraising

Music

Chevra Kadisha

Budget

Adult B’nai Mitzvah

Families with Young Children

Adult #2 - Interests

The more you are involved in synagogue life, the more you will benefit from your membership. Therefore we urge you to explore some of these activities. Please check all that interest you so that we may contact you with appropriate information.

Adult Education

Religious School

Choir

Library

Social Action

Fundraising

Music

Chevra Kadisha

Budget

Adult B’nai Mitzvah

Families with Young Children

Adult #1 - Skills

Do you have a talent/skill that you would like to share with the synagogue community? Please Check the skills that you can volunteer:

Teaching

Marketing/PR

Writing

Ushering

Website Skills

Desktop Publishing

Photography

Finance

Leading Services

Chanting Torah

Haftarah

Megilot

Graphic Design

Leadership

Other

Adult #2 - Skills

Do you have a talent/skill that you would like to share with the synagogue community? Please Check the skills that you can volunteer:

Teaching

Marketing/PR

Writing

Ushering

Website Skills

Desktop Publishing

Photography

Finance

Leading Services

Chanting Torah

Haftarah

Megilot

Graphic Design

Leadership

Other

Adult #1 - Signature*

I/we hereby apply for membership in Congregation Sha’arey Israel synagogue and agree to abide by its Constitution and By Laws.

Adult #2 - Signature

I/we hereby apply for membership in Congregation Sha’arey Israel synagogue and agree to abide by its Constitution and By Laws.

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