Linked In-Beth El Registration

Thank you for your interest in Linked In-Beth El. The information in this form will be used to match individuals and families. You will be contacted by a member of Linked In-Beth El when a match is identified with details and contact information.

Questions marked with a * are required.

 
*1. Are you interested in hosting or being hosted?
Hosting
Being hosted
Both
 
*2. In which age group are you?
Under 25
26 - 40
41 - 55
Over 55
 
*3. Who is in your household?
I live alone
I’m married/partnered with no children in the home
I'm single with children in the home (list ages) 
I’m married/partnered with children in the home (list ages) 
 
*4. With whom would you prefer to be matched? (1 being most preferred, 5 being least preferred—can assign same ranking to an option if you have an equal preference)
1 2 3 4 5
Single person
Couple
With Children in the home
Without Children in the home
Without Children
 
*5. Please select your preference(s):
Get together at someone's home for a meal, visit, etc.
Meet at a coffee shop, restaurant, etc
Meet at the synagogue for a service or program
Other (please explain):  
 
6. Tell us about yourself/family. List some of your interests? (e.g. theater, cooking, gardening, reading)
 
7. Are you interested in hosting/being hosted for a holiday?
Yes
No
Not sure
 
*8. Which of the following describes your kosher observance?
I keep a strictly kosher home (i.e. only buy foods with kosher symbols, do not mix meat and dairy)
I keep a moderately kosher home (i.e. keep "ingredients kosher," do not mix meat and dairy)
I do not keep a kosher home
 
9. In which of the following ways are you involved with Beth El? (Select all that apply)
Committee or programming work
Volunteer work
Study groups and/or classes
General program attendance
Attend synagogue primarily on High Holydays
Attend services on a regular basis (at least once a month)
Attend a few events during the year (e.g. guest speakers, dessert auction, Purim carnival)
Other (please explain):  
 
10. Please list any additional considerations (food or pet allergies, vegetarian, vegan, etc):
 
11. Comments:
 
*12. Name(s):
 
*13. Address:
 
*14. Phone:
 
*15. E-mail:

By submitting this form, I am granting permission for Linked In-Beth El to share the information I've provided as part of the matching process.