MEMBER APPLICATION

Temple Micah Membership Application

Questions? Call Amy Krivel at 303-388-4239 x 4, visit the Micah website at www.micahdenver.org, or email amy.krivel@micahdenver.org.

"Do Justly. Love Mercy. Walk Humbly."

Applicant (A)

Name

Address:

City:

State:

Zip code:

Phone (cell):

Phone (h):

Phone (w):

Email for Micah's use:

One email preferred for billing:

Occupation:

I am:

JewishNot Jewish

Hebrew Name:

Birth Date (MM/DD/YYYY):

Bar/Bat Mitzvah Date (MM/DD/YYYY):

Marital Status:

Wedding Date (MM/DD/YYYY):

Applicant (B)

Name

Address:

Phone (cell):

Phone (h):

Phone (w):

Email for Micah's use:

Occupation:

I am:

JewishNot Jewish

Hebrew Name:

Birth Date (MM/DD/YYYY):

Bar/Bat Mitzvah Date (MM/DD/YYYY):

Marital Status:

Wedding Date (MM/DD/YYYY):

For all children, please list: Name, Birth Date (MM/DD/YYY), School Grade, and Hebrew Name.

Children:

For all yahrzeits, please list: Name, Date (MM/DD/YYYY), Relationship.

Yahrzeits:

How did you learn about Temple Micah?

What attracted you to Temple Micah?

With what other religious institutions are you affiliated?

What synagogue activities or programs are of interest to you?

In which areas of synagogue life would you be interested in volunteering or sharing your skills? (Please mention things you especially enjoy doing or would like to do more!)

Do you have any friends or family who may be interested in Temple Micah whom we should contact?

At Temple Micah we believe that joining a synagogue is primarily about becoming part of a community. We welcome you and look forward to getting to know you better! Please let us know how we may be helpful.

Temple Micah Sustaining Contribution Commitment

We do not have a set amount for annual sustaining contribution commitment. Rather, we operate on a “Fair Share” basis. Each member determines their amount, based on household income and ability to pay. The recommended contribution is 2% of the household’s gross income. No one will be turned away for financial reasons.

We use the honor system. No financial information is requested. However, we do ask that you look at your resources and make a meaningful and significant contribution. By making the largest commitment you can, you will provide the support that our congregation needs to thrive. Our Executive Director and Board of Trustees review all applications, and will be in contact with you if there are any questions or they would like to discuss your dues pledge amount further.

Sustaining contribution amounts are set for a one-year period based upon our fiscal year, July 1st through June 30th, and are prorated to date of joining. Contributions are generally increased annually. Sustaining contributions are payable in advance and may be paid annually, semi-annually, quarterly, or monthly. A statement is sent monthly to the email address provided for any balance due.

TEMPLE MICAH Pledge Information

Your pledge, or annual dues, are your sustaining contribution that keeps Temple Micah operating.

From the Temple Micah Bylaws

Article V, Section 6 - Membership: Dues and Fees

Members shall pay such annual dues, assessments, and other fees as shall be determined by the Board of Trustees. Membership dues are payable in advance. This constitutes a member in good standing. A member who fails to pay any financial obligation due the congregation within (90) days after such obligation became due and payable shall not be considered to be in good standing. A member who fails to pay any financial obligation due the congregation within six months after such obligation became due and payable may be suspended and deprived of all membership rights and privileges upon vote of the Board of Trustees, after the member shall have been notified by mail of the impending suspension. The Board of Trustees may waive, extend, or modify any financial obligation due from the member.

Your Pledge

Dues are pledged on a fiscal year basis July 1 through June 30. If you are joining in mid-fiscal year, please pro-rate this year's pledge as you feel appropriate, and also indicate your yearly pledge.

Our family agrees to pay the following amount per year to help pay the operational expenses of Temple Micah:

Our family will pay the following amount as pro-rated dues for the remainder of the current fiscal year, July 1 through June 30:

Total dues this fiscal year:

We prefer to be billed:

MonthlyQuarterlySemi-annuallyAnnually

You will have the option on the next screen to pay in full or divide payment into installments for a recurring payment (choose from the drop down menu).

Please Print Applicant Name(s):

Please type names as your signature, indicating agreement:

Date (mo/da/yr:

Wed, April 24 2024 16 Nisan 5784