Membership Registration | The Rabbinical Assembly

Personal Email *

Membership Registration

First Name *

Middle Name

Last Name *

First and last name will be visible to other users of the site.

Full Hebrew Name

Gender

Female Male Transgender

Home Address

Address Line 1 *

Address Line 2

City *

State *

Country *

Zip

Cell Phone *

Format should be (xxx)xxx-xxxx

Home Phone

Date of Birth

Place of Birth

Marital Status

Name of Spouse/Partner

Organization information

Current Employer

Present Position

Address Line 1

Address Line 2

City

State

Country

Zip

Work Email

Work Phone

Format should be (xxx)xxx-xxxx

Primary Address

Education

Ordination Year *

Place of Ordination *

Undergraduate Institution

From

Degree

Graduate Institution

From

Degree

Have you ever been dismissed or suspended or withdrawn from any academic institution or place of employment?

Yes No

Have you ever been arrested or have a criminal record?

Yes No

If you answered in the affirmative to either of these questions, please send an email with further information to:info@rabbinicalassembly.org

I agree to abide by the administrative directives, placement policies and standards of the Rabbinical Assembly Code of Conduct. I affirm a commitment to Halakhah conforming to the process of the Rabbinical Assembly Committee on Jewish Law and Standards.

*I certify that the information given by me on this application and all supplementary pages is complete and accurate. I have been provided the standards of membership in the RA.