Thanks for your interest in getting in touch with our Jewish community.Please take a few moments to fill out this form to receive your welcome kit. The answers you provide will help us to better serve your needs. Feel free to leave blank any questions that do not apply.* Asterisk indicates required fieldFirst Name* Last Name* Email* Home Phone Street* Street 2 City* State* Select a stateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareD.C.FloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (the) AmericasArmed Forces EuropeArmed Forces PacificAlbertaBritish ColumbiaManitobaNewfoundlandNew BrunswickNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon TerritoryOther Zip Code* Occupation Employer Work Phone Are you new to Seattle? Yes No If so, where did you move here from? When? Gender:MaleFemale Age Range:(select one)under 1818-2425-3435-4445-5455-6465-upAre you:(select one)MarriedSingleDivorcedWidowedCouple Spouse/Partner Name: Would you like to subscribe to our monthly e-newsletter? YesNo Areas of Interest? Select all that apply:Advocacy/Government Affairs Bashert (LGBTQ) Camp Scholarships Cardozo Society (for attorneys) Israel Experience Programs and Scholarships (for teens) Maimonides Society (for doctors & dentists) Missions to Israel PJ Library (free books for young kids) Teacher Education Technology Professionals Volunteering Women's Activities {C}{C}Young Adult Activities (21-39) {C}{C}Community-wide Events {C}{C}Giving Information {C}{C} If you are affiliated with a Congregation or Synagogue, which one? Are you currently involved in other organizations? If so, which ones? Do you subscribe to the JTNews? YesNo If not, would you like a free 3-month subscription? Yes No Is there some other way we can help you connect here in Seattle?
