Whether you are new to Sarasota-Manatee or new to us at the Federation, we want to know you! Our
Shalom! You're Home
program can help you get settled, get involved and make new friends!
Contact us!
Lauren Cohen | 941-706-0027 or
Lcohen@jfedsrq.org
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a temporary address?
No, this is our new home address in Sarasota or Manatee county
Yes, we expect to move to a different permanent address in Sarasota or Manatee county
Yes, we rent seasonally and our address may change from year to year
Other
Which community are you moving from?
*
Birth Date (for security purposes)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are there other members in your household?
*
Yes
No
Please tell us about any other members of your household.
Rows
First Name
Last Name
Relationship
Date of Birth
Person 1
Person 2
Person 3
Person 4
Are you retired?
*
Yes
No
What was your former profession?
*
What is your current profession?
*
Have you ever lived in Israel?
Yes
No
Do you speak Hebrew?
Yes
No
Tell us your interests (check all that apply)
*
Israel
Cultural Arts: Books, Movies, Music, etc.
Child & Family Programming (PJ Library, Camp, etc.)
Camp Yonnie Summer Day Camp
Teen Programming (STEP)
Antisemitism
Holocaust
Community News and Information
Jewish Food & Jewish Holidays
Jewish Education
Volunteer Opportunities
Social Events (Just Schmoozing, Chai Life)
Security (SAFE SRQ)
Sports & Recreation (SunCourt Sports)
Fundraising, Philanthropy (Women's Giving Circle)
Would you like to join the Federation's weekly email list?
Yes
No
Would you like to receive the Federation's weekly E-Newsletter?
Yes, subscribe me to the weekly e-newsletter!
No, thank you!
Would you like to receive the Federation's weekly E-Newsletter?
Yes, subscribe me!
No, thank you!
Would you like to receive our free, monthly newspaper, The Jewish News?
Yes, please!
No, thank you!
Should we send The Jewish News to the same address as above?
Yes
No
Where should we send The Jewish News?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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