Return this form to rabbi@convertjudaism.org
Jewish Institute of Religious Training of Esynagogue.org
Long Distance Conversion Program
Packet
Confidential Information Form
(MUST BE COMPLETED BEFORE BEGINNING COURSE)
Date of First Class Session_______________________
Name____________________________________________
Street Address___________________________________City_______________Zip__________
Date of Birth_____________ Tel._______________________ E-mail_______________________
Marital Status_________________ Children___________________________________________
Spouse_________________________________
Occupation________________________________ Employer_____________________________
Present/past church affiliation______________________________________________________
How did you learn about the program?_______________________________________________
Explain your interest in Judaism_______________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If you are sharing this instructional conversion experience with a Jewish partner, please furnish the following information:
Name_______________________________________________________
Street Address____________________________________City______________Zip___________
Telephone_______________________________________ E-mail__________________________
I understand this conversion to Judaism through this program, conducted under Conservative Jewish auspices, would most likely not be considered acceptable by Orthodox Rabbis, and Orthodox Israeli authorities.
Being accepted into the program for study does not automatically mean the candidate would be acceptable for conversion. The candidate needs to fulfill the requirements AND be found worthy by the Rabbinic Tribunal/ Bet DIN
PAYMENT OPTIONS
Paypal or Visa/Mastercard/American Express
need billing name and address, card number and expiration
