Brooklyn Shadchan Meet July 30 2017 Apply Now >

Singles Application

Our program is geared towards young men and women
who have never been married between the ages of 18-34.

So the Rebbetzins can serve you better, we now ask that you upload a resume and photo as part of your application. Please know that your application will remain incomplete until your resume and photo is attached. Thank you!

 

*If you cannot fill out the online application, click here to print it out and mail or fax it back to us.


Single
Divorced
Widowed

Mentor & Shadchan
Shadchan Only
Male
Female
Yes
No
Slim
Average
Somewhat Overweight
Yes
No

If you were not Jewish from birth, please provide the name of the Rabbi, Beis Din and date of conversion:

Frum From Birth
Parents Baalei Teshuva
Ashkenaz
Sephardi
Yeshivish
Chassidish
Modern
Other: Specify
Yes
No
Yes
No
Not sure
Yes
No
Describe

Family Information


American
Israeli
Russian/Ukrainian
Bucharian
Syrian
Iranian
Other: Specify
Yes
No
Yes
No
Married
Divorced
Widowed
Frum From Birth
Baal Teshuva
Not religious
Frum From Birth
Baal Teshuva
Not religious
Yes
No

Personal References


Education and Occupation: Check all that apply


Hebrew School
Jewish day school
Yeshiva High School
Post High School Yeshiva/Seminary
College

If attended Yeshiva/Seminary, please provide location and name of Rosh Yeshiva/Menaheles:

Did you have the opportunity to study in Israel? For how long?

If attended or are attending College, please provide school name and degree completed:

Learning Full Time 
Learning Part Time
Attending College
Attending Seminary
Working
Seeking Employment

If working, please specify job title and firm:

Your Personality and Hashkafa


Daily
Regularly
Occasionally
Daily
Weekend and Holidays
Other: Specify
Skirts only
Will wear pants
Elbows covered
Short sleeves
Fully with wig
Scarves
None
Always
Mostly
Some of the time
Yes
No
Describe

*Do you attend a regular shiur? Please Elaborate.

Who is your Rebbi/Role model?

*Who influenced you to become frum?

*What are your hobbies/special interests?

*How do you like to spend your free time/vacation?

*How do you feel about TV/movies?

Will allow in my home
Will not allow in my home, but I will go out to a movie
Do not want at all

Are you willing to relocate?

Yes
No

Is Aliyah an option?

Yes
No

*What are your short-term-future plans? Long-term?

Chars remaining:

*Tell us about yourself using your top 3 personality traits. Tell us what you are seeking in a husband or wife. Please include: a) Musical taste : b) I enjoy going out to:

Chars remaining:

Your Prospective Spouse


Min
Max
Min
Max

Marital status

Never Married
Divorced
Widowed
Other
Yes
No
Learn 1-2 Yrs
Learn 3+ Yrs
Work F/T
College + Work
None Specific

Who should we contact in order to set up a shidduch?(You may name yourself)

How did you hear about us?