Application for Membership

Name

Personal Email

Hebrew Name

DOB

Cell

Are you Jewish?

What is your heritage?

Do you have a spouse or partner you would like to add to your account?

Name

Personal Email

Hebrew Name

DOB

Cell

Are you Jewish?

What is your heritage?

Address

City

State

Zipcode

Home Phone

Wedding Anniversary

Previous Synagogue & Year of Affiliation

Tell us about yourself.

How would you like your name(s) and title(s) to appear in our directory and mailings?

I/We hereby apply for membership of the Temple Adas Shalom. If accepted, I/we agree to abide by and conform to its bylaws. Furthermore, I/we undertake to pay all negotiated financial commitments when called to do so.

Signature(s)

Date

Dependent Children/Adults

Name for 1st Dependent

Personal Email

Hebrew Name

DOB

Age

Gender

Grade

Do you have additional dependent children/adults living at home?

Name for 2nd Dependent

Personal Email

Hebrew Name

DOB

Age

Gender

Grade

Do you have additional dependent children/adults living at home?

Name for 3rd Dependent

Personal Email

Hebrew Name

DOB

Age

Gender

Grade

If available, we would very much appreciate a family photo returned with this membership application.
Please email it to membership@templeadasshalom.org.

EXECUTIVE COMMITTEE
President: Mark Wolkow
Board Secretary: Nadia Hampton
Immediate Past President: Vacant
V.P of Membership: Justin Davis
V.P of Education: Sam Meyer
Treasurer: Stephen Marksamer
Religious Practices Committee Chair: Mike Mullis & Linda Needel

TEMPLE ADAS SHALOM BOARD OF TRUSTEES
Adult Education: David Dirlam
Caring Committee: Nancy Lever & Mickie Sachs
Emeritus: Marcia Buchness
Fundraising: Terry Weiner
Sisterhood President: Deborah Temple
Social Committee: Vacant

TEMPLE ADAS SHALOM BOARD (Appointed)
Building & Grounds: Fred Edeson
Kehillah MAGNET Chair: Ashira Quabili
Social Action Chair: Alison Filicko

TEMPLE ADAS SHALOM STAFF
Rabbi: Meeka Simerly
Administrator: DeNae Harmon
Administrative Assistant: Mindy Goldman
Gift Shop: Denise Gordon & Pat Wolkow
Temple Shamus: Irwin Rosenfeld
Webmaster: Michael Goldman

TEMPLE ADAS SHALOM EDUCATION STAFF
HJC ELC Director: Lanay Pettigrew
HJC ELC Assistant Director: Danni Lebson
Kehillah MAGNET Principal: Sarah O'Donnell
TAS Choir Director: Michael Mullis

TEMPLE ADAS SHALOM COMMITTEE LEADERS
Brotherhood President: Stu Needel
Catering Committee: Robin Way
Cemetery: Vacant
Finance Committee: Stephen Marksamer
HJC Early Learning Center: Pat Wolkow
Investment Committee: Brian Schorr
ONEG Committee: Karen Wood
Technology Chair: Michael Goldman

Free Yahrzeit Notices

Name

Hebrew Name

Relationship

Date of Death

AM or PM