Security Screening Form

If you are a newcomer, please fill out the Visitor Request Form — you do not need to fill out this form.

However, if we have further questions or if our security team recommends it, we may ask you to complete this Security Screening Form as an additional precaution.

We are taking these steps to ensure the safety and security of our community, especially in light of recent events.

Thank you for your understanding.

Date of Requested Visit

Name

This address will receive a confirmation email

Mobile Phone Number

Address

Please indicate your country/state of residency.

For visitors coming from outside the Bay Area, where will you be staying during your visit to San Francisco?

For visitors coming from outside the Bay Area, please provide the phone number at your accommodation

If you have any social media links (e.g., Facebook, LinkedIn), please provide one below. If not, simply write ‘Not Applicable.’

To help us better understand and review your application, please share any additional details in the box below.

This is a non-refundable $18 processing fee to cover the administrative review of your application.

Please note that payment does not guarantee approval.

We typically respond within 24 to 48 hours.

Processing Fee $18.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

To keep our community safe and make sure everyone visiting our synagogue is trustworthy, we created this form. Your help is important in keeping our space secure and welcoming.

Please fill out this form and click submit.

Security Screening Form

Description

Please Fix the Following