Be Matched with Our Members

  • Be Matched with Our Members

  • PLEASE READ!!

    WE ONLY ACCEPT THOSE LIVING IN THE UNITED STATES, UK, AND CANADA; all others will be DELETED.

    We are a matchmaking company that is designed to support people both with and without social difficulties to find fulfilling relationships. By completing this form, you acknowledge that you understand our focus and are open to being matched with clients from a wide range of backgrounds and experiences. Please know that we thoughtfully match members based on their independence, support needs, and cognitive and social functioning. Please also note that we do not operate as a dating app; our database is private and only our staff have access to your information and potential matches.

    Directions: ** To successfully submit your profile, ALL QUESTIONS must be fully answered, 3 pictures must be attached, and you must scroll down to the bottom to check off the box accepting the terms and conditions**

  • Basic Information

  • Format: (000) 000-0000.
  • Date of Birth (DOB)*
     - -
  • What's the best way to reach you?*
  • GENDER at birth*
  • Gender Identity*
  • Sexual Orientation*
  • What is your Race?*
  • Do you have children?*

  • ⚠️ Please either list a diagnosis or check "NA or None" — not both.

  • About Your Needs and Support System

  • Do you have a legal guardian? (Someone who legally obtained guardianship of you after you turned 18.)*

  • Legal Guardian Information

  • Format: (000) 000-0000.

  • About Your Needs and Support System II

    We ask for a trusted contact who knows you well and can support or assist in the process if needed.
  • Format: (000) 000-0000.
  • How do you feel about dating someone who has a disability or is neurodivergent?*
  • Please clarify what you feel comfortable with? (Select any that apply.) Click N/A if you selected "I'm not open to it" for the previous question.*

  • Daily Life & Logistics

  • Schooling - (Please check the HIGHEST level you have obtained.)*
  • Who do you live with?*
  • Do you drive?*
  • What geographic distance are you open to when dating?*

  • Goals

  • Are you interested in making Friends, or meeting someone romantically?*
  • Are you open to long distance dating?*
  • Are you willing to relocate?*

  • Values & Compatibility

  • Religion

  • What religion(s) were you born into? (Please check all that apply.)*
  • What religion(s) do you currently identify with? (Please check all that apply.)*
  • How religious are you?*
  • How important is it to you to meet someone of the same religion?*

  • Interests, Hobbies & Free Time

  • Final Questions

  • Photos

    This is the last step in the form. Please upload your best headshot photo, best full body photo, and government-issued photo ID to verify your identity. You can also include any additional photos you’d like at the bottom (extra headshots, full-body, or casual photos are all welcome).
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  • Please only submit this form if you are prepared to respond to communication from our team.

    If at any time you change your mind, please let us know.

     

    To proceed, please accept our

    Privacy Policy, Terms of Use, and Consent

    (Click to view)

     

    By placing a check mark in the “I accept Privacy Policy, Terms of Use, and Consent” box below, you agree to our policies. 

     

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