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Hebrew
Shidduch Profile Form
Share your details to help make perfect matches
Full Name
*
First Name
Last Name
Gender
*
Boy
Girl
Date of Birth
*
-
Month
-
Day
Year
Date
Todays Date
-
Month
-
Day
Year
Date
Age
Region
*
Parents
Parents
*
Fathers and Mothers First name
Mothers Maden Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Chassidus
Places of Davening
Grandparents
Education
Chader / School
*
Yeshivah / High School
*
Camp
Current Yeshiva / School / Occupation / Workplace
*
Number of Children in Family
Number of Married Children
References
Anything a Shadchen should be aware of?
Preferred Contact Person
Could be a family member or someone close
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mentor / Rebbi Name
Optional, but encouraged
Mentor / Rebbi Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Other Mechutonim
What qualities are most important in a spouse?
Any additional family background or priorities?
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Upload Resume
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References
Rows
Full Name
Phone Number
Relationship
Reference 1
Reference 2
Reference 3
Reference 4
Preferences
Rows
Important
Not Important
Against
Covered
Learning
Working
Live near parents
Flexibility
Not at all
1
2
3
4
Very
5
1 is Not at all, 5 is Very
Information Sharing with Other Shadchanim
Please Select
Yes
No
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