Shadchanit Form

BS”D

Orit the Shadchanit aims to help remedy the Shidduch dating crisis by arranging a list of questions as a replacement to the traditional resume. Orthodox “frum” Jewish singles may fill this out for free as setting two spiritually “alike” singles out on a date is being done more so as a Mitzvah than anything else.

(Even if you personally aren’t looking right now, or are currently married, you can still send this URL to your friends by Email, Facebook, Twitter or Pinterest. Even Yahoo Groups still work!)

Interested in Orit the Shadchanit helping you to find your beshert (intended)? Please fill out the form below:

(Your feedback/comments is/are appreciated. Submit your feedback HERE.)

Please review the Terms and Conditions page prior to filling out this form.

General Info

First Name*

Last Name*

Your Email*

Title*

Age*:

Marital Status*:

Cohanic Status (Men):

Current Occupation*:

Would you be willing to relocate?*

If so, where would you be willing to relocate to

Current Photo:*

Spoken Languages*

Physical Features

Hair Color*:

Hair Type*:

Eye Color*:

Height (cm/ft-in)*:

Physical Build*:

Physical Build, if "Other:"

Children

Do you have children?*

If so, how many?

Do you want more children?

Pets

How do you feel about pets?*

Do you have any?*

If so, which kind(s)?

Consumption Habits

Special dietary requirements (if any)*

What are your smoking habits (cigarette/cigars/pipes)*?

Are your smoking habits more complicated? If so, please explain:

Contact Info

Address*:

City/State*:

Country*:

Home Phone*:

Cell Phone*:

Work Phone/Extension:

Hashkafa

Minhagim*:

If "Other," Please describe:

Religious Affiliation*:

Religious Background:*

Women: can you marry a Cohen?:

What does Modern Orthodox or CharDal mean to you?

Chassidish Affiliation (what branch if any):

Schooling

Highest Degree Attained*

What Degree Concentration (if Any)?

Note: This part is a TextArea so in case different degree concentrations were attained at different milestones.

Please list the schools you attended.*

Which post-High School Yeshivas or Seminaries did you attend, where, and what years?

Hobbies*

Externalities

Men

Do you wear a Kippah?

If so, what kind?

Do you wear a black hat?

Women

Do you wear pants?

Would you cover your hair?

If so, how much?

What You're Looking For

Age Range *: From To

Please explain in detail what type of partner you are looking for.*

References (2)

Reference #1*

Name*:
Email Address*:
Phone Number*:
Relationship*:

Reference #2*