Member Form

Yachad BeYeshua

Application Form for Membership

Applicants for membership must be Jews who confess Jesus as the Messiah of Israel, the Son of God and the Lord of all. For the purposes of Yachad BeYeshua, a Jew is defined as an individual who is descended from a Jewish ancestor (i.e., an ancestor who himself or herself had two Jewish parents) no further back than two generations, or is converted to Judaism under the auspices of Jewish religious authorities considered reputable by Yachad BeYeshua.

Before applying, please be sure to read our Membership Policy and Founding Charter.

If you have any problems submitting your application, please email us.

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Salutation

Name

First Name

Last Name

Phone Number

Address

For international applicants for whom State does not apply, please just enter "None" in the State field.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date

YYYY

Short Bio (100 words)

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Mother Tongue

Mother Tongue -- Other

twc-fbtfml : 40 If you chose "Other" for Mother Tongue please specify here.

English Speaking Fluency

English Reading Fluence

English Writing Fluency

Jewish Descent

In the course of the application process, we may ask you for further evidence or supporting documentation of your Jewish descent.

My father is Jewish

My mother is Jewish

My grandparents are Jewish (specify below)

Other information if Jewish background is unsure:

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Please describe briefly your Jewish upbringing and experience.

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Date and place of confession of faith in Yeshua by Baptism/Tevilat Mashiach or confirmation:

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Ecclesiastical Identification (please pick one)

Confidentiality Requested?

(Choosing "Yes" means that your name will not be listed in the Member Directory which is distributed to all Yachad BeYeshua members.)

Add me to the YbY Members Announcements email list:

(If you decline, we will be unable to keep you informed of member news, events, and other membership activities.)

Please give the name, email address and telephone number of someone whom we can approach for a reference.

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Applicant's Affirmation

I understand and accept the conditions of membership which include the Mission statement; core values; ecumenical respect; and theological statements. I have read the Yachad BeYeshua Charter and the Members Policy, and I request admission to this global fellowship as it is there defined.