Membership Application - Form - Tree of Life Congregation

This application will help you in preparing your personal information for the confidential use of Tree of Life Congregation. The completion of this application does not guarantee membership to the Tree of Life congregation. This is not a contract.

Personal Information

Applicant #1

Applicant #2

Last Name

First Name

Hebrew Name

Date of Birth

Anniversary

Date of Birth

Home Phone

Cell Phone

Occupation

Military/Veteran?

Branch of service

Home Address

City

State

Zip

Children's Information

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

I am interested in receiving information about religious/Hebrew school

Emergency Contact Information

Name

Relationship

Phone #

Name

Relationship

Phone #

Yahrzeit Information

Deceased

Relationship

Date of Death

Deceased

Relationship

Date of Death

Deceased

Relationship

Date of Death

Deceased

Relationship

Date of Death

Deceased

Relationship

Date of Death

Committees

Tree of Life's committee structure is the basis of our organizational strength. Our community is supported by its dedicated volunteers. Please review the list below and indicate which committees you might like to serve by checking the appropriate boxes. Your name will be shared with, and you will be contacedt by, the committee chair.

Membership Pledge

The expenses of the Tree of Life Congregation are the responsibility of the entire membership. The TOL Fair Share Dues Schedule is listed below. To keep Tree of Life vibrant and active, please use the recommended pledge amounts below to set your dues based on your household's gross income.

Up to $50,000	$1,000
$50,001 - $75,000	$1,500
$75,001 - $100,000	$2,000
$100,001 - $150,000	$3,000
$150,001 - $200,000	$4,000
$200,000 +	2% of annual gross income

* Income level

* Frequency of Payment

I would like to speak with the finance committee chair regarding payment of dues.

I understand that the information I submit to the Tree of Life congregation does not guarantee membership to the Tree of Life Congregation. I am 18 years old or older.I authorize Tree of Life or its agents to use this information to run background checks.

I agree to support the TOL Congregation in a way that is fair to my household and fair to the Congregation. I will pay my annual pledge in a timely fashion but no later than June 30th of the current fiscal year. I will pay at least half of the amount pledged by December 31st of the current fiscal year.I will participate in various activities associated with the Temple. This commitment as a congregant helps to make Tree of Life Congregation a house of worship learning and assembly for all members.