Clergy Intake Form

Interested in joining InterfaithFamily’s list of recommended clergy to officiate at lifecycle ceremonies for interfaith couples & families? 
 
You’ve come to the right place. 
  
Please fill out the intake form below. In order to better serve you and the interfaith couples and families we reach, it is helpful if you answer all the questions. 
 
We’ll be reviewing the information you provide to see if you meet our criteria for joining. Check your inbox – we'll be sending you a few follow up emails once you hit ‘submit’. 

 
We thank you for your time and your commitment to the Jewish community. 
 
Nicole Wasilus 
Director of Lifecycle Connections, InterfaithFamily 
NicoleW@interfaithfamily.com 


Contact Information

 

Ordinations and Affiliations

The Academy for Jewish Religion
AJU
ALEPH
Hebrew College
HUC-JIR
IISHJ
JTS
Leo Baeck
Private Ordination
RRC
Yeshivat Chovevei Torah
YU
Other
Conservative
Orthodox
Reconstructionist
Reform
Renewal
Secular Humanistic
None
Other
ACC
AHR
ARC
Cantors Assembly
CCAR
Leadership Conf. Secular & Humanistic Jews
Ohalah
RA
RCA
RRA
Other
None

 

Officiation Details

None
Weddings (sole officiant)
Weddings (co-officiate with clergy of another faith)
Baby Namings/Welcoming Ceremonies (sole officiant)
Baby Namings/Welcoming Ceremonies (co-officiate with clergy of another faith)
Bar/Bat Mitzvah Tutoring/Officiation
Counseling
Conversions
Funerals/Unveilings (sole officiant)
Funerals/Unveilings (co-officiate with clergy of another faith)
Any other event/assistance needed
Yes
No

 

Please select all the areas in which you will officiate.

Anywhere in the US
AL
AK
AZ
AR
CA - Northern
CA - Los Angeles
CA - SoCal Outside of LA County
CO
CT
DE
DC/Greater Washington
FL - South
FL - Northern
FL - Central/West
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA - Eastern/Southern
MA - Western
MI
MN
MS
MO
MT
NE
NV
NH
NJ - North
NJ - South
NM
NY - Manhattan
NY - Westchester/Rockland
NY - Brooklyn/Queens/LI
NY - Upstate
NC
ND
OH - Northeast
OH - Southwest
OH - Central
OK
OR
PA - Eastern
PA - Western
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
International
French
Hebrew
Portuguese
Russian
Spanish
Other

 

Wedding Officiation Questions

   

 

Work and Other Information

Federation
Hillel
JCC
JFCS/JFS
Religious Movement
Retired
Self-employed
Synagogue
Other

  

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