Rabbis and Cantors Retirement Plan Signup Form

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If you have any questions, please email administrator@rabbisretirementplan.org.

Title *

Legal First Name *

Preferred First Name

Legal Last Name *

School *

If private or other, from who?

Membership in rabbinical/cantorial associations, if any:

AJRCA Clergy and Alumni Association

American Conference of Cantors

Association of Rabbis and Cantors (AJR-NY)

Cantors Assembly

Central Conference of American Rabbis

Hebrew College Clergy Alumni Association

International Rabbinic Fellowship

Ohalah

Rabbinical Assembly

Rabbinical Council of America

Reconstructionist Rabbinical Association

Other:

Graduation Year *

Home Street Address

City *

State (enter two letter abbreviation) *

Zip Code

Phone (enter numbers only) *

Email *

Type of Employer *

Employer Name *

Work Street Address

City

State (enter two letter abbreviation)

Zip Code

Birthdate *

YYYY

Required Attestation *

I have not been rejected for membership in, or suspended or expelled from, any association for any ethical or moral violation, nor have I resigned from any association to avoid suspension or expulsion for any ethical or moral violation. I will inform the Plan promptly if this information changes.

Required

Thank you for completing the RCRP Signup Form.

Once you receive acknowledgment from the RCRP staff that you meet our eligibility requirements and are welcomed to the Plan you can begin the steps to complete enrollment that you will be sent.

Contact administrator@rabbisretirementplan.org if you have any questions or need assistance.

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