Conversion Interest Intake Form 2022-23

Welcome to Temple Beth Shalom!

We are thrilled that you have decided to begin (or continue)your conversion journey with us. This form will help us get to know you so that we can do our best to support you throughout this journey. We are between sessions, but please fill out this form if you would like to be contacted to register for the next available class.

* First Name

* Last Name

* email

* Mobile Phone Number

* Residence Address

* Birthday

* Place of Birth

* Marital Status

Name of Spouse or Significant Other

Ages of Children (if any)

* What prompted and encouraged your interest in participating with the Temple Beth Shalom conversion program?

* Do you have a network of friends and/or family who will be helping you integrate into Jewish Life? Or are you looking for that network within our community?

Have you taken any classes with us in the past? If so, which classes?

* Would you like to be added to the Temple Beth Shalom email list to learn more about our community events/holiday celebrations?

* Is there anything else that you want to share with us so that we can help make this process meaningful so that you feel included in every aspect of our communal life?