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New Membership Application

We are so glad that you are considering membership
with Congregation Beth Shalom!

After filling out the application (or open in a new tab now), we encourage you to look at the page which discusses our "Fair Share Dues" model. For Membership, we encourage a Fair Share percentage of your income set at 2% of your adjusted gross income. One of our deepest values, however, is that no one should have a financial barrier to membership, so please reach out to our Executive Director, Colin, at colincoltrera@bethshalomseattle.org if you would like to confidentially discuss your financial situation.

Next Steps following this application:
  • Meet with one of our leadership team for a quick chat and intake (you'll receive an email with a scheduling link, so you can find a time that works for you)
  • Calculate your annual dues and communicate them to us
  • Your application will be presented to our Board for formal recognition
We look forward to hearing from you!

* Your personal information on this form is encrypted via HTTPS and is always kept confidential. Birthdates, emails, and other personally identifying information (PII) are not distributed to third parties, and you can always opt out of any of our communications emails (billing and administration emails will continue to reach you). Please be as thorough as you can when filling this out.
Member Primary Information
Type "N/A" if same as above. We require legal names for the purpose of providing charitable contribution letters. Your preferred name, above, will be used in all mailings and publicly available places.
This will be the email address you use to log in to your Shulcloud account and receive statements and newsletters from the synagogue. Please choose an address you check regularly.
Please provide the number you can most reliably be contacted at.
Please include apartment or unit numbers. Ex: 221 Baker St. Unit B
(Please write it in English letters - e.g. Baruch ben Dov v’Ruth)
Beth Shalom is a participatory community and loves when our members can share their talents. Do you play an instrument? Do woodworking? Have an interest in sound equipment? Etc.
Member Secondary Information (if applicable)
*For interfaith families, membership will be listed under the Jewish spouse.
This will be the email address your secondary uses to log in to your family's Shulcloud account and receive statements and newsletters from the synagogue. Please choose an address that is checked regularly.
Please provide the number this person can most reliably be contacted at.
(Please write it in English letters - e.g. Baruch ben Dov v’Ruth)
Children (if applicable)
Example: Peter Parker, 4/13/2002, New York High School grade 12, allergic to peanuts, peterparker@gmail.com
* Birthdates are important for children so that we can place them in appropriate age groups and include them in the right event communications.
Yahrzeits
As a courtesy for our members, Beth Shalom sends out reminder letters a few weeks in advance of a Yahrzeit. Member Yahrzeits are also published in our monthly and weekly newsletters, and read from the bima on Shabbat. If you would like to receive these reminders, please fill out the box below according to the example shown. You may give this information to the office at any time
Example: Benjamin Parker, 5/4/2017, uncle of Peter Parker
Previous Synagogue Affiliaton (if applicable)
As a member of Congregation Beth Shalom, I/we agree to abide by the rules, bylaws and acts of the Board of Directors including the payment of dues and other financial obligations.
Mon, January 27 2025 27 Tevet 5785