2022-2023 Financial Adjustment Request

Requests for financial adjustments must be submitted annually

Temple Sholom is committed to opening our door to all who wish to join and extends membership commitment assistance through a confidential process. Our Temple policy allows for financial adjustments to reflect individual/family financial circumstances.

- STRICTLY CONFIDENTIAL -

* Address

* City

* State

* Zip Code

Home Phone

if applicable

* Member 1 - First Name

* Member 1 - Last Name

* Member 1 - Email

* Member 1 - Mobile Phone

* Is there a second Adult living in the household?

* Member 2 - First Name

* Member 2 - Last Name

* Member 2 - Email

* Member 2 - Mobile Phone

It is Temple Sholom’s long-standing policy to offer membership regardless of one’s ability to pay. We will work with congregants to ensure they have a home at our synagogue, and we understand that financial circumstances can vary from year-to-year. When determining an affordable commitment level, please consider an amount equal to 1–2% of your household income to invest in building our sacred community.

*Religious School, B’nai Mitzvah and Gan Shalom tuition are not eligible for Financial Adjustment.

So we can be as supportive as possible to our Temple Sholom Community, to the extent you are comfortable, please consider sharing a little bit about your need for this adjustment. Thank you.

* I (we) request our total 2023-2024 membership commitment (excluding Religious School and B'nai Mitzvah fee) be adjusted to the following amount:

Enter a dollar amount.
Once your financial adjustment request is received and approved by our finance department, you will be able to set up a monthly payment plan if desired

Sat, April 20 2024 12 Nisan 5784