Membership Application

Step 1 of 8

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Personal Information

Your Name*

Prefix First Middle Last

Home Address*

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

Home Phone

Full Hebrew Name

Name of spouse/partner/significant other

Current Position

Congregation*

Number of Families in Congregation*

Affiliated with United Synagogue?*

Yes

Other Movement Affiliation?

Congregation Address*

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

Work Phone*

Email Address*

Position Title*

Employment Type*

Full-time

Part-time

Salary*

Package*

Rabbi

President

How were you placed in your current position?*

NAASE PLacement

Answered an ad

Other

Date you assumed duties as the Executive Director / Administrator of this congregation?*

Do you have a contract?*

Yes

From / Until

Is it confirmed by:

Personnel Code

Written Contract

Board Resolution

Other

Education

Please write "NA" if a field does not apply

College*

Degree or Certification from Accredited Institution*

Major*

Graduation Year*

Advanced Degree(s): College/University

Degree

Major

Graduation Year

Past Employment

Job #1 - Position

Job #1 - Congregation/Company

Job #1 - Location

Job #1 - Duration

Job #1 - Reason for Leaving

Job #2 - Position

Job #2 - Congregation/Company

Job #2 - Location

Job #2 - Duration

Job #2 - Reason for Leaving

Job Responsibilities

Please indicate to what extent you are regularly involved in each of the following:

Finance

Records & Reports*

Budget Preparation & Control*

Receipts / Disbursements*

Collections*

Fundraising (Internal)*

Campaigns (Community-wide)*

Management

Property*

Office & Management*

Office & Maintenance Personnel*

Youth Advisors / Teachers*

Cemetery*

Food Service*

Scheduling Use of Building*

Public Relations

Public Relations*

Communicating with Congregants*

New Releases*

Announcements*

Purchasing

Office Supplies*

Maintenance Supplies*

Educational Materials*

Insurance Coverage*

Furniture & Equipment*

Food*

Administration

Program Development*

Membership Enrollment*

Membership Integration*

Membership Retention*

Education*

Leadership Development*

Planning / Evaluation Activities*

Board or Committee Involvement

Please indicate to what extent you are regularly involved in the work of the following boards and/or committees.

Adult Education*

Art*

Brotherhood (Men's Club)*

Budget*

Catering*

Cemetery*

Dues*

Executive*

Finance*

High Holidays*

House*

Insurance*

Journal (Bulletin)*

Kol Nidre*

Law (Constitution)*

Library*

Membership*

Music / Choir*

Nominating*

Personnel*

Religious School*

Ritual*

Seminary*

Sisterhood*

Social Action*

Trustees*

Ushering*

Young Marrieds*

Youth*

Ritual / Sacredotal Responsibilities

Please indicate to what extent you are regularly or occasionally involved in these ritual/sacredotal responsibilities.

Lead Services*

Read Torah*

Lead Shiva Minyanim*

Serve as Mashgiach*

Member of Bet Din*

Arrange Funerals*

Administer Yahrzeits*

Lead Retreats*

Teach in School*

Acknowledgment

Membership in the North American Association of Synagogue Executives is not transferable. Renewability ceases if the individual is no longer eligible for Association membership. Membership applications are subject to approval by the NAASE Board of Governors.

Signature*

I am aware of the requirements for membership in NAASE and hereby signify that I meet all such criteria. I further certify that all of the information in this application is true and complete. I acknowledge that I have received the NAASE Ethical Standards Code and I hereby agree to abide by it. (Please sign using your mouse, or your finger/stylus if your device is touch-enabled.)

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