EJF Application Form

The following application should be completed by couples interested in learning more
information about EJF, their programs and the conversion process.
Name:
Address:
City:
State:
Zip:
Phone number:
Cell phone number:
Email address:
Date of birth:
Gender:
Male Female
How did you hear about Eternal Jewish Family?
Are you interested in a universally accepted
conversion?
Yes No
Have you converted to Judaism before?
Yes No
If yes, under whose auspices?
Have you applied for conversion to any other
Rabbinic Authority?
Yes No
If so, Name and telephone number:
Please provide the name of a Rabbi who can serve
as a reference:
Telephone number of Rabbi reference:
Marital status:
Married Divorced Separated
Are you currently dating a Jew?
Yes No
Is your spouse Jewish?
Yes No
Do you have children?
Yes No
If so, how many and what ages:
Are you interested in having your children
converted?
Yes No
Have you read any books on Judaism or Jewish
thought?
Yes No
If yes, please list up to five titles:
What is your current or previous religious affiliation?
Please use the space below to describe your interest
in converting to Judaism:
For security, please enter the following letters into
the box at right:
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Application Form - EJF http://www.eternaliewishIamily.org/site/programs/application/app/
1 oI 2 10/18/2009 12:40 AM
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Application Form - EJF http://www.eternaliewishIamily.org/site/programs/application/app/
2 oI 2 10/18/2009 12:40 AM

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