FORMS LIBRARY: CHAVURAH APPLICATION

CHAVURAH APPLICATION

Participation in a Chavurah is limited to members of Congregation Beth Israel. Print and mail this completed application to:

Program Director Bonnie Graff
Congregation Beth Israel
9001 Towne Centre Drive
San Diego, CA 92122

Member 1: First & Last Name:	Mr. Mrs. Ms. Miss Dr.
Birthday:	Month: Day: Year:
Occupation:
Business Phone:
E-mail Address:
Member 2: First & Last Name	Mr. Mrs. Ms. Miss Dr.
Birthday:	Month: Day: Year:
Occupation:
Business Phone:
E-mail Address:
Home Address:
City:		Zip:
Home Phone:
Children:
Name:
	Age: Sex: Live at Home?:
Name:
	Age: Sex: Live at Home?:
Name:
	Age: Sex: Live at Home?:
Name:
	Age: Sex: Live at Home?:
1. Describe your Jewish background and interests:

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?

Mail to: Program Director Bonnie Graff, Congregation Beth Israel, 9001 Towne Centre Drive, San Diego, CA 92122