B'H Matching Male Application

B'H Matching Male Application
Personal Information

Please be as honest as you can, in order to match you effectively.
Name

First NameLast Name
Email
example@example.com
Phone Number
Country
State
City
Zip Code
Date Of Birth*

MonthDayYear
Date

Religious Information
Ethnicity
Cultural Background
Religious Status
How many years have you been Orthodox Baal Teshuva?
What is the name of the Bet Din that you converted through?
Which affiliation did you convert to?
What is/are the name(s) of the Rabbi(s) who performed the ceremony?
What is the date of the conversion?
What is your Hashkafah?
Did either of your parents convert before you were born?
Are your mother and maternal grandmother Jewish?
Family Religious Background
Mother's Name
Mother's Maiden Name
Father's Name
Father's Last Name
Primary Synagogue you attend
Do you wear a Kippah?
Sabbath Observance
Kosher Food
Shomer Negiya
Shomer Negiya: physical contact with opposite gender until marriage
Praying
Learning Torah
Would you send your kids to Yeshiva?

My Education & Profession
Maximum Secular Education
Name of Elementary School
Name of High School/Yeshiva
Name of College(s) or Universities
Emphasis of Studies in College
Jewish Education
Jewish Education

Orthodox Day SchoolYeshiva/Seminary (after high school)Shiurim/LecturesHebrew SchoolSelf ReadingNone
Did you go to Yeshiva after High school?
For how long?
i.e. 6 months, 1 yr
Profession (if any)

My Appearance
Photo 1: Clear close up head shot (no sunglasses or filters)*

Browse Files

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Photo 2: Clear full length picture

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Photo 3: Family photo (optional)

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Hair Color
Eye Color
Height
Do you have medical/physical/mental disability
If yes,then please describe*

Family
Marital Status
How long were you married for?*
How long have you been single?*
How many times have you been divorced?*
Do you have a Jewish Divorce ("Get")?*
Do you have a civil divorce?*
Divorce Comments *
Do you have children?
If so, number of children*
How many of them live with you?*
Age of the youngest *
Do you want to have (additional) children?
Can you marry a Cohen
If you are divorced, a convert, or not a virgin you can not marry a Cohen
Place of Birth
Citizenship Status
Number of Siblings
Current Location of parents
Name of parents' Shul

About Me
What are you looking for in a person?*
This will be only seen by your Matchmaker
Please give a short description of yourself. (How would people close to you describe you?)*
This will be seen by both Matchmakers and your Match
References
Name of Reference 1*

First NameLast Name
Title
Phone Number*
Email
example@example.com
Relationship to reference *
Name of Reference 2

First NameLast Name
Title
Phone Number
Email
example@example.com
Relationship to reference
Name of Reference 3

First NameLast Name
Title
Phone Number
Email
example@example.com
Relationship to reference
Should be Empty:

Personal Information