CBI Online Chavurah Application


	PROGRAMS INTRODUCTION RSVP FORM ADULT EDUCATION BEREAVEMENT CARING COMMUNITY CHAVURAH CHOIRS EMPTY NESTERS FUNDRAISERS HUNGER PROJECT MEN'S CLUB OUTREACH TO INTERFAITH SCHOLAR IN RESIDENCE DAYTIMERS SOCIAL ACTION STAND WITH ISRAEL WOMEN OF BETH ISRAEL YOUNG ADULTS 22/39 COMMUNITY EVENTS JEWISH LINKS We value spiritual enrichment, social justice, and meaningful Jewish education. – From Our Mission Statement

CHAVURAH Application

Quick Links:
Return to Chavurah Main Page
Add Havdalah to Your Saturday Night Chavurah Program

APPLICATION
Participation in a Chavurah is limited to members of Congregation Beth Israel.

Please fill out the entire form below and press Submit once.

MEMBER A
First Name:
Last Name:
Email Address:
Telephone Number:
Date of Birth:
Occupation:
MEMBER B
First Name:
Last Name:
Email Address:
Telephone Number:
Date of Birth:
Occupation:

Mailing Address
Street Address :
City:		Zip*:
Home Phone:
Children
1. We have a named who is years old and currently living at home.

2. We also have a named who is years old and currently living at home.

3. We also have a named who is years old and currently living at home.
If you have more children, please list their names, genders, and ages here:

Personal Background
1. Describe your Jewish background and experience:
2. Describe your other special interests:
3. Are the ages of other children in the Chavurah important to you? Explain:
4. Are the ages of other members in the Chavurah important to you? Explain:
5. What kind of activities would you like to do in a Chavurah?
6. Describe the kind of people you would like to meet in a Chavurah
7. Do you have any other helpful information to assist us in placing you in a Chavurah that will meet your needs and interests?

Thank you for your interest in joining a CBI Chavurah. After hitting "Submit" You will receive a confirmation, and we will reach you either by phone or post within the next 5-7 business days.

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