Membership Application Form

Official Application for Nonprofit Membership

By completing this form, you are formally requesting to become an official member of The GSC - Givat Shmuel Community (R.A.), granting you the right to participate and vote in all General Assemblies. Please verify all of your details are correct; in the event that the information here changes, you must notify the Board Secretary within three weeks of the change. This information will be recorded in the Nonprofit Registry, and viewable by other members of the nonprofit.

Please make sure to review both the Nonprofit Bylaws and the Criteria for Membership before applying.

First Name (English)

Last Name (English)

Hebrew Full Name*

T.Z. / Passport #*

Phone*

Email*

This email will be used for all official GSC correspondence, and will be your login for GSC resources.

Address*

Membership Eligibility

As per Resolution #GA0007, members of the nonprofit must meet one of the following criteria. Please select the relevant criteria that apply to you.

Membership Eligibility*

I have volunteered a minimum of 40 hours in the past 4 months, 100 hours in the past year, **OR** 400 hours in the past three years.

I have made a donation to the nonprofit of at least 180NIS in the past year, 500NIS in the past two years, **OR** 1800NIS in the past three years.

I meet neither of the criteria above, and request membership for a different reason.

Please Elaborate*

Formal Request*

I formally request to become a member of The GSC – Givat Shmuel Community (R.A.). I am aware of the nonprofit’s goals and bylaws. If accepted as a member, I pledge to uphold all provisions and the decisions of the General Assembly.

Signature*

Using your touchscreen or trackpad, please enter your signature.