Become a Shmirah Coordinator Registration

Join Austin's Last Responder Community. Please fill out the form below to register as a shmirah coordinator for your congregation. The Area Coordinator will confirm with your congregation's leadership that you are authorized for this position.

Note about filling out this registration:

If you see a red star behind an item, answering that item is REQUIRED.
If you see boxes for an item, you can select as many choices as you like.
If you see circles for an item, you can select only one of the choices listed.

Email - serves as your userid *

Password*

Retype Password *

First Name *

Last Name *

Cell Phone Number *

Second Phone Number

What phone should we primarily call you on? *

Cell Phone Number

Secondary Phone Number

Third Phone Number

Second Email

Are you over 18 years of age? *

Yes

Congregation Shalom Rav (CSR, Austin's Reconstructionist and Renewal Congregation): We welcome and appreciate all who wish to serve as shomrim with the gifts that each one brings, shaped by their own unique spiritual path, and at the same time fully conforming to all the specifications that each family of the deceased may request. Resources for Death and Mourning are available at https://ritualwell.org/topic/death-mourning.

Other Affiliation? *

The first backup coordinator serves in the absence of the primary coordinator. The second backup coordinator serves in the absence of the primary and first backup coordinators. The third backup coordinator serves in the absence of the primary, first and second backup coordinators.

Select your coordinator level *

Primary

First Backup

Second Backup

Third Backup or lower

Anything else you'd like to tell us?

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Become a Shmirah Coordinator Registration

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