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TTCBJ Membership and Engagement Form


The Temple, Congregation B'nai Jehudah is a reform congregation  located in Overland Park, Kansas. Our congregation has a rich history, and there are a number of exciting programs and educational opportunities to help nurture Jewish meaning, connection and continuity.  

Membership includes all members of a household family unit, which may be single individuals, married or committed couples, single parents, adult family members residing in the home and unmarried children. We do have reduced membership for those under the age of 30. We accept all households regardless of their financial situation.

I can't wait to welcome you to the B'nai Jehudah Family!  

Kelley Cowman
Membership Engagement and Programming Coordinator
Office: 913.663.4050
Cell: 913.333.7740
engagement@bnaijehudah.org
Please indicate how you would like mail to be addressed to you and your family (example: Kelley and Ryan Cowman)
Please indicate a home phone or your preferred contact number for the household.
Please provide the best email address for this confirmation.
Please indicate if you need an alternate home address, or billing address.
Please indicate your current marital status.
Please give anniversary date as mm/dd/yyyy.
Please give planned wedding date as mm/dd/yyyy.
Please provide Contact Name at this address.
Please provide Contact Name for this address or Company Name and Contact Name.
Please indicate if you have any unique billing information.
Our system will place the first two Adult information as a primary and secondary member who automatically have full account permissions. These are typically spouses, or partners.

For multi-generational households please select which generation is to be the primary members and then add the additional generation under "Other Adults at Home" as they will not have full account access. 

If BOTH generations should be considered full members, please submit separate applications and indicate in the information section which household will be the billing contact.
Preferred First Name / Nickname
Please give name in English.
Please indicate your preferred pronouns: he/him; she/her; they/them
Please indicate if you will need assistance for any of these.
Please provide a brief explanation for "other" needs.
What Faith do you practice or consider yourself?
Please provide Company Name for this address.
Preferred First Name / Nickname
Please give name in English.
Please indicate your preferred pronouns: he/him; she/her; they/them
Please indicate if you will need assistance for any of these.
Please provide a brief explanation for "other" needs.
What Faith do you practice or consider yourself?
Please provide Company Name for this address.
Click "+" to add Other Adults in the Household
Preferred First Name
Please provide name in English.
If left blank we will use the gender consistent pronouns.
Please use the m/d/yyyy format.
Are these children minors or adults?
Preferred First Name
Please provide name in English
Please indicate child/s preferred pronouns.
Note: if blank corresponding gender pronouns will be used.
Please put N/A if no B'nai Mitzvah has occured
Does Child have health/developmental/learning challenges?
Please provide an explanation for any Challenges that were identified.
This is only for cases of a parent that does not reside at the same residence with the child.
Please provide both First & Last Name
Please provide preferred first name
Please provide name in English
Please indicate child/s preferred pronouns.
Note: if blank corresponding gender pronouns will be used.
Does Child have health/developmental/learning challenges?
Please provide an explanation for any Challenges that were identified.
Please put N/A if B'nai Mitzvah has not occured
This is only for cases of a parent that does not reside at the same residence with the child.
Please provide both First & Last Name
Please provide preferred first name
Please indicate child/s preferred pronouns.
Note: if blank corresponding gender pronouns will be used.
Does Child have health/developmental/learning challenges?
Please provide an explanation for any Challenges that were identified.
This is only for cases of a parent that does not reside at the same residence with the child.
Please provide both First & Last Name
Please provide preferred first name
Please indicate child/s preferred pronouns.
Note: if blank corresponding gender pronouns will be used.
Does Child have health/developmental/learning challenges?
Please provide an explanation for any Challenges that were identified.
Click "+" to add additional child
Preferred First Name
Please provide name in English.
If left blank we will use the gender consistent pronouns.
Please use the m/d/yyyy format.
Click "+" to add a Yahrzeit
Please use the format: mm/dd/yyyy
Please give first and last name.
Please indicate how the Deceased is related to the mourner
Once logged into their account, members will have the ability to set which personal information is available online.
Not applicable if you selected NO to having recommendations of people in the Kansas City Jewish community who might be interested in joining the B'nai Jehudah family.
In order to serve you better, please take a few moments to answer the following questions.
Also, please feel free to include any additional information that you feel may be beneficial to us.
What skills, hobbies or interests (i.e. musical talents, public relations experience, party planning, etc…) do you or members of your household have that might be shared with the congregation through our programming, religious school, adult education or worship?
Click on "+" to add skills/hobbies for a household member
Are you related to (i.e. parents, grandchildren, cousins, etc…) or are you friends with current The Temple, Congregation B’nai Jehudah members?
Click "+" to add relationships for the Household
Please provide synagogue name, city and state.
Please list the following information here for all people you think would be interested in joining the B'nai Jehudah family.

1) Referral 1: 
      - Name
      - Email Address
      - Phone Number
      - Anything we should know about this family?


2) Referral 2: 
      - Name
      - Email Address
      - Phone Number
      - Anything we should know about this family?

etc.
ANNUAL COMMITMENTS AND FEES FOR NEW MEMBERS/FULL FAMILY
        For Membership Year June 1, 2022 - May 31, 2023/5783

FULL FAMILY MEMBERSHIP FINANCIAL COMMITMENT {TERUMAH} AND VOLUNTARY HIGHER GIVING LEVELS:
Every membership at The Temple, Congregation B’nai Jehudah is vitally important to our community, and every donation is deeply appreciated. If you are able to do so, please consider increasing your support of people and programs throughout our congregational community by increasing your Terumah to a higher level. Your participation will allow us to stabilize, strengthen, and sustain The Temple, Congregation B’nai Jehudah and set it on a course for a healthy and positive future. 
 
Ner Tamid: An Overview

Ner Tamid offers an extraordinary opportunity for B'nai Jehudah supporters to contribute above and beyond the annual sustaining Terumah amount. This dedication to contributing above and beyond their share of our operating costs make it possible for every congregant to participate in the life of our synagogue regardless of financial circumstances. These contributions are a vital component to the financial health of our synagogue. Please consider a gift at the Ner Tamid level to help sustain congregational life and invest in our future. 

Thanks to the ongoing support of our generous Ner Tamid donors, B'nai Jehudah is proud to be able to welcome all members, regardless of their financial situation. 
Please note that Associate Membership requires that you maintain a regular membership at another Synagogue.
Please select your membership - Terumah - level for the year.
Please provide name and location of your Primary Synagogue.
Please indicate the amount that you feel you can offer for the year.
If giving as a monthly amount please state: per month.
If you have spoken with the Engagement and Programming Coordinator; Kelley Cowman and reached an agreed on Terumah amount please list it here.
Please list the months you wish to receive statements.
PAYMENT AUTHORIZATION:  I/We understand that:
 
1. Financial commitments must be current in order to receive High Holy Day admittance and other services.
2. All financial commitments must be paid in full by the end of the fiscal year May 31st, 2023
 
YOUR MEMBERSHIP WILL BE PROCESSED UPON RECEIPT OF THIS COMPLETED FORM. WELCOME!!!
Wed, March 22 2023 29 Adar 5783