Membership Application

I. Introductory Note

Congregation Beth Israel welcomes all who wish to join our warm, welcoming and modern Reform Jewish congregation. Established in 1854 and the oldest synagogue in Texas, we have a rich history and a legacy of leadership. Membership provides a wealth of opportunities to connect with our clergy and congregational family, your spirituality and with the local community. One of the primary benefits of a large, well-established congregation is the ability for everyone to find their place—choose from a variety of worship, community, social action, and learning opportunities that appeal to young and old alike. Our synagogue is the place that we turn to for our most meaningful moments in life. We hope that you will embrace Beth Israel as an extension of your family so that we may share those special lifecycle events together.

For information on our Fair Share Dues Commitment, visit the Fair Share Dues page.

For a visit or more information, please contact our Executive Director & Director of Lifelong Learning, David Scott, at (713) 771-6221, x621 or dscott@beth-israel.org.

II. Applicant Information

Name*

Name(s) and title(s) as you wish them to appear on our mailing list (for example Mr. and Ms. Alan Jones, Alan and Shirley Jones, Mr. Alan Jones and Dr. Shirley Jones, etc.)

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status*

If married, date*

Applicant 1: First Name*

Applicant 1: Middle Name

Applicant 1: Last Name*

Applicant 1: Preferred Name/Nickname

Applicant 1: Hebrew Name

Applicant 1: Gender*

Female
Male
Non-binary
Prefer not to identify

Applicant 1: Date of Birth*

Applicant 1: Religion*

Jewish
Considering conversion

Applicant 1: Phone Number(s)*

Phone Type (home, mobile, etc.)	Number (###) ###-####

To add a phone number, click the '+' next to the 'Number' column.

Applicant 1: Email*

Enter Email Confirm Email

Applicant 1: Occupation

Applicant 1: Employer

Second applicant?*

Yes
No

Select 'Yes' if more than one adult is applying for membership.

Applicant 2: First Name*

Applicant 2: Middle Name

Applicant 2: Last Name*

Applicant 2: Preferred Name/Nickname

Applicant 2: Hebrew Name

Applicant 2: Gender*

Female
Male
Non-binary
Prefer not to identify

Applicant 2: Date of Birth*

Applicant 2: Religion*

Jewish
Considering conversion

Applicant 2: Phone Number(s)*

Phone Type (home, mobile, etc.)	Number (###) ###-####

To add a phone number, click the '+' next to the 'Number' column.

Applicant 2: Email*

Enter Email Confirm Email

Applicant 2: Occupation

Applicant 2: Employer

Emergency Contact Information:*

First Name	Last Name	Relationship	Phone

Input information for 1-2 emergency contacts. To add a second contact, click the '+' next to the 'Phone' column.

Mail Preferences

I prefer to receive the Temple Bulletin via postal mail.

If unchecked, you will receive it and all other communications via email.

III. Children and Dependents

Children and Dependents

First Name	Middle Name (optional)	Last Name	Hebrew Name	Gender	Date of Birth (mm/dd/yyyy)	Current School	Grade

To add a child or dependent, click the '+' next to the 'Grade' column.

Please indicate any physical limitations or special needs of any members of your family that the congregation’s programs and facilities might better accommodate:

Vision
Hearing
Mobility
Disabled
Other

If other, specify:*

IV. Yahrzeit Information

Yahrzeit Information

Name of Deceased	Relationship	To	Date of Death (mm/dd/yyyy)

Please list the names and dates of death of your loved ones for whom you wish to receive Yahrzeit (remembrance) notices. To add a loved one, click the '+' next to the 'Date of Death' column.

Would you like to be contacted about purchasing a plaque on our Memorial Wall?*

Yes
No

Do you own cemetery property?*

Yes
No

If no, would you like to be contacted by our cemetery representative?*

Yes
No

V. How did you find us?

Were you referred to Congregation Beth Israel?*

Yes
No

If yes, by whom?*

If no, how did you hear about Congregation Beth Israel?*

Name your previous congregational affiliation(s):

Congregation:	City/State:	Year you left:

To add a congregation, click the '+' next to the 'Year you left' column.

Family/Friends Affiliated with Beth Israel:

Name	Relationship

To add a family member or friend, click the '+' next to the 'Relationship' column.

VI. Interest Areas / Communities

Please indicate what your areas of interest are. Please see our website for more information on each.

Congregation Beth Israel’s Ambassador Program welcomes all new members and can help you integrate quickly and easily into our temple community. Through this long-established program, new members are matched with existing Beth Israel members/families with similar interests and backgrounds for the first year. Would you like to be matched up with an Ambassador?*

Yes
No

Applicant 1: Interest Areas / Communities

Early Childhood: 0-5
School Age: 5-13
Youth Groups: 14-18
Family Events
Young Professionals: 20-40
Leisure Club: 70+
Adult Education
Sisterhood
Brotherhood

Applicant 2: Interest Areas / Communities

Early Childhood: 0-5
School Age: 5-13
Youth Groups: 14-18
Family Events
Young Professionals: 20-40
Leisure Club: 70+
Adult Education
Sisterhood
Brotherhood

Congregation Beth Israel’s committee and volunteer program is one of the pillars of its strength. Our community is supported by our dedicated members and volunteers. Please review the options below and indicate which opportunities, if any, you might be interested in by checking the appropriate boxes. You will be contacted by the committee chair(s) of your selection(s) so that you can learn more about these opportunities to get involved. This will also allow you to meet other members of our community.

Applicant 1: Committee / Volunteer Interests

Applicant 2: Committee / Volunteer Interests

VII. Fair Share Dues Commitment

Our congregation, like every congregation, depends on the financial support of its members to open its doors every day and to provide all of our offerings to the community. At Congregation Beth Israel, we ask each member to make an annual Fair Share Dues Commitment based on each family’s ability to contribute, regardless of their income level. We understand that each member has a different capacity to give. You can be assured that you will never be asked to reveal your income, but we do hope that you will consider your resources when you determine the amount of your commitment.

Click the 'Submit' button below to send your application. We will be in touch soon!

Musical Shabbat

Worship

Plan Lifecycle Events

Hyman Judah Schachtel Library

Religious School Registration

Online Registration

Lifelong Learning

Apply Now to Join the Beth Israel Family