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New Member Application
Please verify reCaptcha before submitting the form.
NEW MEMBER INFORMATION
*
First Name
*
Last Name
Hebrew Name
*
Date of Birth. Please type date in this format:
Gender
Please choose one.
Male
Female
Nonbinary
Other
What is your preferred gender description?
What are your preferred pronouns?
*
Mailing Address
Address Line 2 (optional)
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
ZIP Code
Phone Number
*
Email Address
Regular access to email?
Please select one.
Yes, please send as much communication via email as possible.
No, I/we do not have access to email and require physical mailings when possible.
In order to minimize use of paper products, most of our member communications are via email. Please indicate whether you have regular access to email.
In which religious tradition were you raised?
Please choose one.
Reform
Conservative
Orthodox
Reconstructionist
Renewal
Non-practicing
Non-Jewish
Is this the first time you've become a member of a Jewish congregation?
Please choose one.
Yes
No
Of what other Jewish congregation(s) have you been a member? Please indicate name(s) and location(s) of previous/other congregation(s).
As a member of another congregation, in what programs, committees, or activities have you been involved?
Would you be interested in involvement in any of the following programs or committees? Check all that apply.
Board of Trustees/Officers
Brotherhood
Budget Committee
Bylaws Committee
Caring Committee
Cemetery Committee
Challah Bakers
Finance Committee
Fundraising Committee
Green Team
Investment Committee
Israel C. Carmel Archive Committee
Library Committee
Membership Committee
Nominating Committee
Scholarship Committee
Security Committee
Shabbat Meditation
Sisterhood
Social Action Committee
Zamir (Adult Choir and Band)
*
Which of these best describes you?
Please Select One
Single
Divorced
Widow/Widower
Partnered
Married
Spouse's First Name
Spouse's Last Name
Spouse's Hebrew Name
Spouse's Date of Birth. Please type date in this format:
When were you married? Please type date in this format:
Is your spouse also Jewish?
Please choose one.
Yes
No
Spouse's Gender
Please choose one.
Male
Female
Nonbinary
Other
What is your spouse's preferred gender description?
What are your spouse's preferred pronouns?
Partner First Name
Partner Last Name
Partner's Hebrew Name
Partner's Date of Birth. Please type date in this format:
Is your partner also Jewish?
Please choose one.
Yes
No
*
Partner's Gender
Please choose one.
Male
Female
Nonbinary
Other
What is your partner's preferred gender description?
What are your partner's preferred pronouns?
*
Do you have children under the age of 18?
Please choose one.
Yes
No
Child 1 First Name
Child 1 Last name
Child 1 Date of Birth. Please type date in this format:
Child 1 Gender
Please choose one.
Male
Female
Nonbinary
Other
What is this child's preferred gender description?
What are this child's preferred pronouns?
Child 1 Grade in Secular School
Please choose one.
Too young for secular school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Does this child have previous religious school experience?
Please choose one.
Yes
No
Is this child a bar/bat mitzvah?
Please choose one.
Yes
No
Has this child completed confirmation?
Please choose one.
Yes
No
Will this child be interested in Eitzim Hub, our educational community for children of all ages?
Please choose one.
Yes
No
Do you have more children under 18?
Please choose one.
Yes
No
Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth. Please type date in this format:
Child 2 Gender
Please choose one.
Male
Female
Nonbinary
Other
What is this child's preferred gender description?
What are this child's preferred pronouns?
Child 2 Grade in Secular School
Please choose one.
Too young for secular school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Does this child have previous religious school experience?
Please choose one.
Yes
No
Is this child a bar/bat mitzvah?
Please choose one.
Yes
No
Has this child completed confirmation?
Please choose one.
Yes
No
Will this child be interested in Eitzim Hub, our educational community for children of all ages?
Please choose one.
Yes
No
Do you have more children under 18?
Please choose one.
Yes
No
Child 3 First Name
Child 3 Last Name
Child 3 Date of Birth. Please type date in this format:
Child 3 Gender
Please choose one.
Male
Female
Nonbinary
Other
What is this child's preferred gender description?
What are this child's preferred pronouns?
Child 3 Grade in Secular School
Please choose one.
Too young for secular school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Does this child have previous religious school experience?
Please choose one.
Yes
No
Is this child a bar/bat mitzvah?
Please choose one.
Yes
No
Has this child completed confirmation?
Please choose one.
Yes
No
Will this child be interested in Eitzim Hub, our educational community for children of all ages?
Please choose one.
Yes
No
Do you have more children under 18?
Please choose one.
Yes
No
Child 4 First Name
Child 4 Last Name
Child 4 Date of Birth. Please type date in this format:
Child 4 Gender
Please choose one.
Male
Female
Nonbinary
Other
What is this child's preferred gender description?
What are this child's preferred pronouns?
Child 4 Grade in Secular School
Please choose one.
Too young for secular school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Does this child have previous religious school experience?
Please choose one.
Yes
No
Is this child a bar/bat mitzvah?
Please choose one.
Yes
No
Has this child completed confirmation?
Please choose one.
Yes
No
Will this child be interested in Eitzim Hub, our educational community for children of all ages?
Please choose one.
Yes
No
Do you have more children under 18?
Please choose one.
Yes
No
Mazal tov!
We will contact you later to collect information on additional children.
Do you have adult children? (Please note that adult children are not included in family membership.)
Please choose one.
Yes
No
Please list the names and dates of birth of your adult children.
Do you have grandchildren?
Please choose one.
Yes.
No.
Please list the names and dates of birth of your grandchild(ren).
We look forward to getting to know you! To get us started, please let us know a little bit about you. Where were you born? Where have you lived? What do you do for a living? Are you retired? Share as much or as little as you like.
What do you hope to experience as a member of Congregation Albert?
*
Please check this box after reading our Code of Ethics.
Please check this box after reading our Code of Ethics.
Click here to read our Code of Ethics.
*
Please check this box after reading the following:
Please check this box after reading the following:
Membership at Congregation Albert requires an annual pledge. Each member pledges in order to sustain temple operations (e.g., programming, music, education, youth, salaries, repair and maintenance, insurance, and utilities). The "sustaining pledge" amount is adjusted annually by the Budget Committee and Board of Trustees. No current or prospective member is denied membership because of financial hardship; your generosity helps us continue being the center of Jewish life in Albuquerque and beyond.
*
Please check this box after reading the following:
Please check this box after reading the following:
New membership at Congregation Albert requires a contribution to the Building Fund. An exemption from this requirement can be obtained by providing proof of contribution to another Union for Reform Judaism (URJ) synagogue's Building Fund within the past 10 years.
FINANCIAL COMMITMENT
Our current sustaining financial commitment is $3200 annually, meaning that if every member household contributed this amount, our income would cover all of our operating needs. However, no current or prospective member is denied membership because of financial hardship. Thank you for your support!
If able, please consider joining our Chai Circle donors.
CHAI
CIRCLE
Pillar Circle
:
$3,540 and over ($295+ per month)
Guardian Circle
: $5,720 and over ($476+ per month)
Pinnacle Circle
: $10,720 and over ($893+ per month)
Those blessed with the ability to contribute in these categories provide the stability upon which our future is built. These donors will be recognized in the coming year.
Please indicate the amount of your annual financial commitment below, and how you plan to fulfill your financial commitment. No credit card or bank account information is required at this time, and no payment will be collected at this time.
*
Please enter your Annual Financial Commitment amount:
*
Your Annual Membership Financial Commitment may be made in one lump payment, or divided during the course of the fiscal year. Please indicate how you would like to schedule your payments.
Please Select One
Monthly
One annual payment
Two semi-annual payments (every six months)
Quarterly (July, October, January, April)
Annual Payment: In which month of each year will your payment be made?
July
August
September
October
November
December
January
February
March
April
May
June
*
Please indicate your method of payment for your Financial Commitment..
Please Select One
Automatic bank withdrawal
Credit card
Check
Other
Please describe your planned method of payment for your Financial Commitment.
Thank you! Our accounting specialist will contact you with further information regarding your Financial Commitment.
Membership at Congregation Albert requires a contribution to the Building Fund, which pays for maintenance and improvements to our building. A contribution of
$2000
, in one lump sum or over five years, is suggested. New members who can show documentation of completion of a Building Fund pledge to another Union for Reform Judaism (URJ) synagogue in the past 10 years are exempt from this requirement.
Please indicate the amount of your Building Fund pledge below, and how you plan to fulfill your pledge. No credit card or bank account information is required at this time, and no payment will be collected at this time.
Your contribution to the Building Fund may be broken down over time. For example:
Monthly, over two years = $83.33/month = $2000
Monthly, over three years = $55.56/month = $2000
Monthly, over five years = $33.33/month = $2000
*
Please enter your Congregation Albert Building Fund pledge ($2000 or more is suggested).
If you can show documentation of completion of a Building Fund pledge to another Union for Reform Judaism (URJ) synagogue in the past 10 years, please enter $1.00 as your Building Fund pledge (you will not be billed for this pledge), and send documentation of your completed Building Fund pledge to ed@congregationalbert.org.
Please indicate the time period over which your Building Fund pledge will be paid.
One year
Two years
Three years
Four years
Five years
How frequently will you contribute towards your Building Fund pledge?
One time payment (full pledge amout)
Annually
Semi-annually (July and January)
Quarterly (July, October, January, April)
Monthly
Thank you! Our accounting specialist will contact you with further information regarding your Building Fund pledge.
*
Please check this box after reading the following:
Please check this box after reading the following:
Annual financial commitments are most often paid in monthly increments. For this, it is recommended that members establish automatic monthly payments by contacting our accounting specialist. Payments may also be made in one lump sum, or in any other arrangement which works for you.
*
Please check this box after reading the following:
Please check this box after reading the following:
Your total annual financial commitment is due no later than June 30 of every year. Payments in arrears for longer than six months can result in loss of good membership standing.
Nonpayment causes serious consequences for Congregation Albert.
*
Please check this box after reading the following:
Please check this box after reading the following:
Your annual financial commitment must be updated annually (often in May or June). The amounts pledged by members directs our annual budget.
Members who do not update their annual financial commitment risk losing status as members in good standing.
*
Please check this box after reading the following:
Please check this box after reading the following:
Membership Financial Commitments are made in good faith. Timely communication regarding a significant change in your financial circumstances is considered an extension of that good faith. If you are no longer able to afford your committed amount, please contact our office as soon as possible to discuss the situation and avoid loss of status as a member in good standing.
*
By entering your name below, you acknowledge all of the above statements, and affirm your financial commitments to Congregation Albert.
Fri, May 23 2025 25 Iyar 5785
