INLUV DATING EVENT
This is an exclusive dating event! Please fill out this form so that we have you signed up for the 6/23 Exclusive Event! This is INVITE ONLY. ONCE ACCEPTED, YOU WILL BE EMAILED A LINK TO PAY!
About Me
Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail
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example@example.com
Gender
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Please Select
Male
Female
Non-Binary
Trans
Other
Your Age
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Height (ft, ie: 5'5)
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Birthday
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Please select a month
January
February
March
April
May
June
July
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Month
Please select a day
1
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Day
Please select a year
2026
2025
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
I identify as
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Straight
Queer
Bi-Sexual
Lesbian
Gay
Other
I identify as
Cis
Trans
Gender Queer
Non-Binary
Gender Fluid
Other
My Preferred Pronouns are:
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He
Him
His
She
Her
Hers
They
Them
Their
Other
Where do you live? (ex. neighborhood)
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Where is your hometown?
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What is your occupation?
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What is your position title?
What is your height (in feet, ex. 5"10)
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What is your highest degree or highest level of education you have completed?
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Please Select
Some High School
High School / GED
Associates Degree
Bachelors Degree
Masters Degree
PhD / Other Doctorate
Do you have any allergies (animal, food, environmental)?
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What are 2-4 words that people closest to you would use when describing you?
Passionate
Ambitious
Organized
People person
Extrovert
Introvert
Reserved
Activist
Intimidating or serious
Visionary and idealist
Comfortable being alone
Continued: What are 2-4 words that people closest to you would use when describing you
Charismatic and outspoken
Rational and logical
Spontaneous and enthusiastic
Priorotizes other's happiness and needs over themself
Prefer not to talk about themselves
Loves the spotlight
Empathetic
Intuitive
Strive towards creating own ideas
Traditional
Natural leader or likes to take charge
Enjoys challenges
Difficult to connect with people at first
About My Judaism
Are you Jewish? (incl. both parents, half, converted)
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Yes
No
Did you convert to Judaism or are you in the process of converting to Judaism?
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I converted to Judaism.
I am in the process of converting to Judaism.
No I did not convert or am converting to Judaism.
Jewish Cultural Roots:
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Ashkenazi
Sephardi
Mizrachi
N/A
Other
Races/ethnicities/nationalities that best describe me:
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Asian
Black or African American
Asian/Pacific Islander
Hispanic
White/Caucasian
European
Israeli
Middle Eastern
Ethiopian
Canadian
Indian
Russian
Italian
Australian
South African
Latin American
North African
Sub-Saharan African
Turkish
Iranian/Persian
Yemeni
Iraqi
Other
How would you describe your religious background GROWING UP?:
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Just Jewish
Reform
Culturally Jewish
Convert
Conservative
Reconstructionist
Conservadox
Orthodox
Modern Orthodox
Ultra Orthodox
Other
How would you describe your religious background NOW?:
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Just Jewish
Reform
Culturally Jewish
Convert
Conservative
Reconstructionist
Conservadox
Orthodox
Modern Orthodox
Ultra Orthodox
Other
What languages do you speak?
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Is your mother or parent #1 Jewish?
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Yes
No
I do not know
Is your father or parent #2 Jewish?
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Yes
No
I do not know
Do you keep kosher? (in and outside of the home)
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Yes, completely
No, not at all
I’m kosher flexible
Do you keep Shabbat?
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Yes, completely
No, not at all
I’m Shabbat flexible
We know that asking questions regarding your Judaism is a loaded question. Please feel free to expand on this section down below.
Family and Lifestyle
Have you ever been married?
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Yes
No
Have you ever been divorced or are in the process of getting divorced?
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I am divorced.
I am in the process of getting divorced.
No I am not divorced or in the process of getting divorced.
Are you a widow or widower?
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Yes, I am a widow or widower
No, I am not a widow or widower
Do you have children?
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Yes
No
Do you want children?
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Yes
No
Maybe
Feel free to share if you would like to expand more on this section if you think it is important for us to know:) this is completely optional.
Do you have any pets?
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Yes
No
Tell us how many and what kind of pets you have that currently live with you!
Please choose all that apply to describe your political beliefs:
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Democrat
Republican
Liberal
Conservative
Independent
Other
Do you exercise?
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Yes
No
Often
Occassionally
Alcohol Consumption
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Yes
Occasionally
I don't drink
Nicotine/Smoking/Vaping Consumption
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Yes
Occasionally
I don't use Nicotine
Do you engage in cannabis use?
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Yes
Occasionally
No
What are some of your favorite activities/interests that you enjoy? (2-3 sentences)
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Include other comments regarding your lifestyle, alcohol, and recreational drug consumption that you feel is important for us to know:
Your Matches
I want to be matched with people of the following religious backgrounds:
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Just Jewish
Reform
Culturally Jewish
Convert
Conservative
Reconstructionist
Conservadox
Orthodox
Modern Orthodox
Ultra Orthodox
Other
Are you open to being matched with someone who has children?
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Yes
No
Maybe
Do different political views matter to you when it comes to a future partner?
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Yes
No
Maybe
How important are health, fitness, and mindfulness as values for your potential partner?
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Very important
Somewhat important
Neutral
Not important at all
Are you open to being matched someone who engages in drinking alcohol?
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Yes
No
Neutral
Are you open to being matched someone who engages with Nicotine/Smoking/Vaping?
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Yes
No
Neutral
Are you open to being matched someone who engages in cannabis use?
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Yes
No
Neutral
What is your preferred age range?
What qualities, values, or characteristics are you looking for in a lifelong partner? (Choose 5-10)
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Good communicator
Funny and Charming
Attractive
Takes the lead often
Takes feedback well
Reliable
Giving
Culturally Alike
Physical Touch
Acts of Service
Gift Giving
Quality Time
Words of Affirmation
Ambitious
Career-Oriented
Artistic / Creative
Musical
Family-oriented
Athletic
Religious
Physically Active
Patient
Sensitive
Which of these genuinely excites you to talk about?
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Books
Movies
TV
Art
Politics / Current Events
Sports
Cooking
Video Games
Travel
Health & Fitness
Wellness and Mindfulness
Music/Concerts
Pets and Animals
What are your dealbreakers (ie. do not want children, specific Jewish backgrounds, pets, lifestyle, politics, etc)
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Please be specific. While it is important to have dealbreakers and standards, we also ask you to be open-minded! This will give you the opportunity to have more potential matches!
How did you hear about inluv?
Instagram
Facebook
Online Search
ChiTribe
A friend
Talia, Matchmaker
Rebecca, Matchmaker
Rivka, Matchmaker
Other
If you would like to add any other information that was not listed here or information that may be useful for the matchmaking process, please include down below.
Please upload your best headshot for our references.
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Terms and Conditions: Consent
I, [Name], hereby confirm that the information provided in this form is true and accurate to the best of my knowledge. I willingly give inluv full consent to utilize my photos and personal information exclusively for the purpose of matchmaking services. I understand that inluv will handle my data with care, ensuring its confidentiality and security. By signing below, I acknowledge and agree to the terms and conditions outlined in this consent statement.
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Signature
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