Conversion Interest Form

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If you are interested in converting with us, please fill out the interest form below and we will reach out to you on a rolling basis.

Please contact Rose Eilenberg (reilenberg@cbebk.org) with any questions.

* First Name

* Last Name

Pronouns

* Email

* Address Line 1

Address Line 2

* City

* State

* Zip Code

* Are you a member of Congregation Beth Elohim?

* Are you inquiring for an adult or child?

* Tell us a little bit about your connection to and/or interest in Judaism

What is your Jewish educational background?

* Have you taken an Indrocution to Judaism class?

Some kind of introduction to Judaism class is a prerequisite of this program. We offer a Basic Judaism class each fall.

What steps, if any, have you taken towards conversion?

Do you have a specific timeline for your conversion?

Before a wedding, the birth of a child, etc

Please share anything else you'd like us to know

Please share anything you'd like us to know

Mon, January 19 2026 1 Sh'vat 5786