Online Conversion to Judaism Program

Convert to Judaism with online Home Study guided program

847-331-3584 email rabbi@jconversion.org

Enrollment form for conversion course

Long Distance Conversion-to-Judaism Program

Return this form via email to rabbi@jconversion.org

Today’s Date:

Name: Date of Birth:

Gender Male or Female? If male, are you circumcised?

Phone: Email:

Mailing address

Name of Spouse (if applicable):

Is your spouse/partner Jewish already? Or converting also?

Names(s) and ages of Children: Indicate if they are converting and if not, why not:

How did you learn about the program?

Please briefly explain your interest in converting to Judaism:

tell us anything about your educational history, present/past religious affiliation,

family or personal situation you think we should know. (The final essay

will ask for more detail). This is confidential and will only be read and shared

with the beit din.

Read and put initials here

___I/we understand that any conversion may not be acceptable to some Rabbis

and the Israeli Orthodox Rabbinic establishment.

__I/We do not accept Jesus/Yeshua as our Lord and savior,

or messiah.

Describe any prior Jewish learning. If you have previously

worked with a rabbi, include name and contact info:

We very much look forward to working with you!

PAYMENT for the course $495 plus books. We senmd the list of books and you order.

Pay by Paypal or cc. Email your CC #, expiration and security code to rabbi@jconversion.org or send us email to make paypal request.