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Application Form - EJF ge ‘eplction Fame Te Couples Seminars Reliious Cantinity EJF Application Form ‘News Updates ‘http:/Avww eternal ew: shfamily or gf site/prog:ams/applicat on/app/ ‘The following application should be completed by couples interested in learning more information about EJF, their programs and the conversion process. 2: cell phone number: Date of bith How did you hear about Eternal wish Famiy? Ae you treatin a versy accepted Have you converted to 1udaism betore? yes, under whose auspices? Have you applied for conversion to any other Rabie authority? 150, Name and telephone number Please provide the name ofa Rabb who can serve a reference: Telephone numberof Rabbi reference: ‘re you currently dating 2300? 1s your spouse Jewish? De you have chidren? 130, how many and what ages: Ae you retin nving your cen Have you read any books on Judaism or Jewish though? yes, please lst up to five ties: ‘hats your current or previous religious afiation? Please us the space below to describe your interest in converting to Judaism: For secrty, please enter the following letters ito the box st ht O male © Female Over Ono Over Ono O married © pivoreed Over Ono Over Ono Over Ono Tverd © separated 10/18/2009 12:40 AM Application Form - EJF ‘http:/Avww eternal ew: shfamily or gf site/prog:ams/applicat on/app/ Submit Form Mone abst Gantst Samanta Cots 2009 A Ris Reed sere over 2 of 2 10/18/2009 12-40 AM

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