| ------------------------ |
| Contact Information |
| Title: | |
| First Name:* | |
| Last Name:* | |
| Email:* | |
| Email Format:* | HTML Plain Text |
| Phone: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State: | |
| ZIP/Postal Code:* | |
| Country: | |
| Username for RCJC Content:* | |
| Password for RCJC Content:* | |
| Where do you work?: | |
| Company Name: | |
| Job Title: | |
| By whom were you ordained/invested?: | |
| Other ordaining authority: | |
| What movement, if any, are you affliated with?: | |
| Other movement: | |
| What clergy association, if any are you a member of?: | |
| Other associations: | |
| Do you welcome interfaith couples and families into my institution or agency: |
Yes
No
Not Applicable
|
| Do you include the non-Jewish spouse or partner in lay leadership: |
Yes
No
Not Applicable
|
| Please describe any restrictions: | |
| Do you include the non-Jewish spouse or partner in ritual: |
Yes
No
Not Applicable
|
| Please describe any restrictions: | |
| Do you officiate at interfaith weddings:* |
Yes
No
Not Applicable
|
| Please describe any restrictions: | |
| Will you officiate on Shabbat: |
No
Yes, close to sundown
Yes, anytime
|
| Do you officiate at gay interfaith weddings and commitment ceremonies: |
Yes
No
Not Applicable
|
| Please describe any restrictions: | |
| Do you co-officiate at interfaith weddings with clergy of another faith:* |
Yes
No
Not Applicable
|
| Please describe any restrictions: | |
| Do you officiate at interfaith weddings in: (please check all that apply): | Synagogues Other houses of worship Outdoors Other wedding facility Other states Other countries
|
| Do you require counseling for couple prior to ceremony: |
Yes
No
Not Applicable
|
| Please describe the counseling process: | |
| Do you require religious education for the couple prior to the ceremony: |
Yes
No
Not Applicable
|
| Please describe the education process: | |
| Please select any fees or honorariums for officiation: |
0-$500
$501-$1000
$1001-$1500
$1501-$2000
$2001 and up
|
| Please describe what fees and honorariums include: | |
| Please describe any other prerequisites for the couple prior to the wedding: | |
| Please give us your suggestions for ways InterfaithFamily.com can better serve you and the interfaith couples you work with: | |
| If you are interested in writing for us please list some potential topics: | |
| How did you hear about us?: | |