Congregation Emanu-El Conversion Intake Form

Full Name

Date of Birth

Gender

Email Address

Preferred Phone Number

Mailing Address

Street

City

State

Postal Code

Why are you interested in converting to Judaism?

Are you married to/getting married/involved with someone who is Jewish?

Are your parents, or any of your grandparents, Jewish?

Did you grow up with a particular religion? If so, which one(s)?

Have you converted to another religion before?

Have you completed an Introduction to Judaism course? If so, when and where?