Long Distance Learning for Conversion
Course of study

1. Complete enrollment form and email it back rabbi@convertjudaism.org

Today’s Date:

Name:                                                              Date of Birth:

Gender Male or Female? 

If male, are you circumcised?

Phone:                                                              Email:

mailing address for books

Name of Spouse (if applicable):

Is e/she converting also?

Names(s) and ages of Children:

Are they converting? If so, ages and genders? If male, are they circumcised?

Occupation                                                      

Educational History (names of schools, majors, degrees earned):

Present/Past Religious Affiliation:

How did you learn about the program? 

Please explain your interest in converting to Judaism:

Describe any prior Jewish learning. If you have previously worked with a rabbi, include name and contact info:

How to Purchase books and pay tuition for the course

Total course and materials expenses shipped for an individual. Add $250 for a family of any size.

$650 (+ optional $40 dvd set of all videos) within USA

$675 (+ optional $40 dvd set of all videos)outside USA

 I do or do not want the dvds too. (please circle one)

PAYMENT INFORMATION: We accept Mastercard/Visa or PayPal,  or money order

For credit card billing please send the following info:

Card number/

expiration date/

security code on back of card

Or to pay with PayPal . Ask us and we'll request it.

put initials here    ___I/we understand this conversion, done under Conservative Rabbinic auspices, may not be acceptable to Orthodox Rabbis