Chavurah Application

To join a chavurah, please tell us about yourself. Fill in the information that best reflects you and
press the Submit Form button at the bottom of the page.
Click here to learn more about Sinai Temple Chavurah.

Name(s):
Phone:
Address:
E-Mail:
Age:	Under 30 30-40 40-50 50-60 60-70 70-80 Over 80
Children (if participating) Please include gender (M or F) and age for each child listed (e.g. Sarah Cohen F 10):

Type of Chavurah: (number in priority order>
	Family (including preschool and younger aged children) Family (including school aged children) Family (including teens and older children) Couples Singles Women only Men only Other (fill in)
Chavurah activities (number in priority order>:
	Study/Discussion, e.g., Jewish history, values, Israel, etc. Celebrations, eg. Jewish holidays/Shabbat Social, e.g. cooking, outdoors, crafts Social Action activities Other (fill in)
Would you feel comfortable hosting a chavurah gathering in your home?
	Yes No
If you were to create your own chavurah, what would its focus be?

Is there any other information that may be helpful in the matching process?