* Home Address (State)--Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Adult A
Please complete the following section related to information about Adult A.* GenderPlease Select One Male Female
* TitlePlease Select One Mr. Mrs. Ms. Dr.
* Marital StatusPlease Select One Married Divorced Widowed Single
* Do you read Hebrew?Please Select One Yes No
Prior Synagogue State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* TribePlease Select One Kohen Levi Israelite
Business State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Describe your Jewish/religious background and significant experiences.
* Describe your educational background, including colleges and graduate schools attended, and your professional background and work experience.
Describe any hobbies, interests, or skills you could offer the congregation, if any.
Adult B
Please complete the following section related to information about Adult B.Marital Status Married Divorced Widowed Single
Married in a Religious Ceremony? Yes No
Prior Synagogue State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Business State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Describe your Jewish/religious background and significant experiences.
Describe your educational background, including colleges and graduate schools attended, and your professional background and work experience.
Describe any hobbies, interests, or skills you could offer the congregation, if any.
Children
Please complete the following section related to information about your children.
Address (State) --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Yahrzeit Observance
If you would like to receive notification every year for the immediate family, please fill out the information below.Before Sundown After Sundown
Before Sundown After Sundown
Before Sundown After Sundown
Before Sundown After Sundown
KTI Cemetery
Congregation KTI owns and operates Riversville Cemetery in Glenville, CT
Minyan Availability
Congregation KTI is committed to maintaining a Sunday morning minyan and we rely on the support of our members to do so.
Acknowledgement of Membership Obligations
We hereby acknowledge and agree that we will abide by the by-laws and constitution of Congregation Kneses Tifereth Israel and that we will pay all dues, assessments and fees which may be imposed on members of the Congregation. We understand that we are responsible for payment in full of a Building Fund charge of $3,600.00 which may be paid over a five (5) year period if synagogue membership is maintained.
