2025-26 Membership Application - Form

* Name(s) as you wish to be listed on Temple roster i.e. Jane and Jon Cohen

* Permanent Address

* City

* State or Province

* Zip or Postal Code

* Is your local address different from your permanent address?

All mail will be sent to your permanent residence, unless otherwise requested.

* Which neighborhood do you live in locally?

Local /Seasonal Address

City

State

Zip Code

* Do you wish to opt out of the Online Membership Directory?

The online membership directory is only visible to Temple Shalom members when they log in to our website.
Once your Membership Account is set up, you will be able to control your directory listing by logging into your account at any time.

* Adult A - First Name

* Adult A - Last Name

Adult A - Hebrew Name

* Adult A - Date of Birth

Adult A - Home Phone

Adult A - Cell Phone

* Adult A - Email

Nickname

* Adult A - Marital Status

Adult A - Occupation or former occupation

Adult A - Employer

Adult A - Specialization or Expertise

Retired?

YesNoSemi-retired

Wedding Anniversary (if applicable)

Temple is dependent on volunteers. Opportunities for you to contribute range from Adult Education, to Photography, to Shabbat Greeter. Please select your interests below:

Click here to learn more about volunteer opportunities.

Which of the following areas are you interested in? (select as many as you like)

Baking for OnegChoirFinance

Office AssistancePhotographySisterhoodSocial Action

Can you read Hebrew and/or chant Torah?

Read TorahChant Torah

* Is there a second adult applying for membership?

* Adult B - First Name

* Adult B - Last Name

Adult B - Hebrew Name

* Adult B - Date of Birth

Adult B - Home Phone

Adult B - Cell Phone

Adult B - Email

Nickname

* Adult B - Marital Status

Adult B - Occupation or former occupation

Adult B - Employer

Adult B - Specialization or Expertise

Retired?

YesNoSemi-retired

Temple Shalom is dependent on volunteers. Opportunities for you to contribute range from Adult Education, to Photography, to Shabbat Greeter. Please select your interests below:

Click here to learn more about volunteer opportunities.

Which of the following areas are you interested in? (select as many as you like)

Baking for OnegChoirFinance

Office AssistancePhotographySisterhoodSocial Action

Adult 2 - Can you read Hebrew and/or chant Torah?

Read TorahChant Torah

* How many children under the age of 25 live in the family home?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Hebrew Name

Child 1 - Date of Birth

Child 1 - Gender

Child 1 - School grade in the Fall 2022:

Child 1 - Day School Name

Child 1 - Are you registering this child in YESh (youth education program)?

If you select yes, we can email you the YESh information and links to register once your membership application has been processed.

Child 2 - First Name

Child 2 - Last Name

Child 2 - Hebrew Name

Child 2 - Date of Birth

Child 2 - Gender

Child 2 - School grade in the Fall 2022:

Child 2 - Day School Name

Child 2 - Are you registering this child in YESh (youth education program)?

If you select yes, we can email you the YESh information and links to register once your membership application has been processed.

Child 3 - First Name

Child 3 - Last Name

Child 3 - Hebrew Name

Child 3 - Date of Birth

Child 3 - Gender

Child 3 - School grade in the Fall 2020:

Child 3 - Day School Name

Child 3 - Are you registering this child in YESh (youth education program)?

If you select yes, we can email you the YESh information and links to register once your membership application has been processed.

Child 4 - First Name

Child 4 - Last Name

Child 4 - Hebrew Name

Child 4 - Date of Birth

Child 4 - Gender

Child 4 - School grade in the Fall 2020:

Child 4 - Day School Name

Child 4 - Are you registering this child in YESh (youth education program)?

If you select yes, we can email you the YESh information and links to register once your membership application has been processed.

* Do you have anyone to add for whom you wish to observe yahrzeit (memorial)? If so, please select an option below. I you need to add more, you can do so through your account once your membership has been processed.

Yahrzeit 1 - Deceased Name

Yahrzeit 1 - Relationship to:

Yahrzeit 1 - Relationship

Yahrzeit 1 - Date of Death

Yahrzeit 1 - Time of Death

Yahrzeit 1 - I would like to observe the:

Yahrzeit 2 - Deceased Name

Yahrzeit 2 - Relationship to:

Yahrzeit2 - Relationship

Yahrzeit 2 - Date of Death

Yahrzeit 2 - Time of Death

Yahrzeit 2 - I would like to observe the:

Yahrzeit 3 - Deceased Name

Yahrzeit 3 - Relationship to:

Yahrzeit3 - Relationship

Yahrzeit 3 - Date of Death

Yahrzeit 3 - Time of Death

Yahrzeit 3 - I would like to observe the:

Yahrzeit 4 - Deceased Name

Yahrzeit 4 - Relationship to:

Yahrzeit4 - Relationship

Yahrzeit 4 - Date of Death

Yahrzeit 4 - Time of Death

Yahrzeit 4 - I would like to observe the:

Yahrzeit 5 - Deceased Name

Yahrzeit 5 - Relationship to:

Yahrzeit5 - Relationship

Yahrzeit 5 - Date of Death

Yahrzeit 5 - Time of Death

Yahrzeit 5 - I would like to observe the:

Yahrzeit 6 - Deceased Name

Yahrzeit 6 - Relationship to:

Yahrzeit6 - Relationship

Yahrzeit 6 - Date of Death

Yahrzeit 6 - Time of Death

Yahrzeit 6 - I would like to observe the:

Yahrzeit 7 - Deceased Name

Yahrzeit 7 - Relationship to:

Yahrzeit7 - Relationship

Yahrzeit 7 - Date of Death

Yahrzeit 7 - Time of Death

Yahrzeit 7 - I would like to observe the:

Yahrzeit 8 - Deceased Name

Yahrzeit 8 - Relationship to:

Yahrzeit8 - Relationship

Yahrzeit 8 - Date of Death

Yahrzeit 8 - Time of Death

Yahrzeit 8 - I would like to observe the:

Would you like a personal meeting with:

Emergency Contact Name

Relationship

Cell phone number

Additional Phone Number

Relatives who are members of Temple Shalom and their relationship to you

New Member Bio (Limit 150 words)

Please email a picture to Courtney Silhan at csilhan@naplestemple.org or upload below, and enter a short bio introducing yourself/yourselves. Please include any hobbies and special interests you may enjoy. Please note that your bio and picture will be used for internal purposes to introduce you to our clergy and lay leaders.

Sample bio:
Jacob and Leah Newcomer are loving parents to 2 girls, Rebecca (9) and Jane (6). They met in Manhattan and lived in Rye, NY for 7 years prior to relocating to Naples. Jacob grew up in Brooklyn and is an Investment Banker for Morgan Stanley. He was on the board of directors for UJA-Federation of New York along and United Jewish Organizations and National Jewish Outreach Program in Manhattan, NY. Leah grew up in Chicago, IL and moved to Manhattan to study at the New York School of Interior Design and has launched her own interior design business in Naples. Jacob is an avid golfer and Leah loves the arts, the beach and baking. The girls both attend Naples Academy of Ballet as well as play the piano and violin. As a family they enjoy visiting adventure parks.

Upload a photo

Temple Shalom is deeply committed to ensuring that membership in our Congregation is accessible to everyone, regardless of financial situation. We have, therefore, replaced the traditional Temple dues structure with a L’Shalom Membership Gift that supports our mission, vision and goals of the Congregation. Each year we determine the per-household donation required for us to maintain our exemplary programming, remarkable clergy and staff, and provide for the operations of our Congregation.

• The sustaining amount for a one adult household is $1,395.
• The sustaining amount for a household of two or more adults is $2,795.

There are many factors that impact how much a member commits to contribute. We ask that your gift be financially reasonable for you and honors our commitment to each other, to our Temple community, and to our Jewish future.

Please note that our fiscal year runs from July 1, 2025 to June 30, 2026. You may decide to prorate your commitment based on your start date.

Your L'Shalom Commitment

I choose to commit to the sustaining amount for one adult household ($1395)We choose to commit to the sustaining amount for a household of two or more adults ($2795)I/We choose to commit to an amount other than at the sustaining level. ENTER THE AMOUNT IN THE BOX BELOW.