B'H Matching Female Application
Personal Information
Please be as honest as you can, in order to match you effectively.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Country
USA
Canada
Israel
Other
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City
Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Back
Next
Religious Information
Ethnicity
Sephardi
Ashkenazi
Mixed/Other
Cultural Background
American
Bukharian
Eastern European
European
Israeli
Persian
Russain
Syrian
Other
Religious Status
Religious from birth
Not yet Religious
Not planning on being Religious
Ba'alat Teshuva
Convert
How many years have you been Orthodox Baalat Teshuva
What is the name of the Bet Din that you converted through?
Which Affiliation did you convert to?
Orthodox
Conservative
Reform
Other
What is/are the name of the Rabbi(s) who performed the ceremony
What is the date of the conversion
What is your Hashkafah?
Cohen
Levi
Yisrael
Yisrael (Convert)
I don't know
Did either of your parents convert before you were born?
Yes
No
Are your mother and maternal grandmother Jewish?
Yes
No, mother and maternal grandmother not Jewish
No, maternal grandmother not Jewish
Family Religious Background
Religious from birth
Not yet Religious
Not planning on being Religious
Ba'al Teshuva
Convert
Mother's Name
Mother's Maiden Name
Father's Name
Father's Last Name
Primary Synagogue you attend
Sabbath Observance
Fully Shomer Sabbath
Partially Shomer Sabbath
Traditional Sabbath observance
No Sabbath observance
Kosher Food
Always
At home & I eat dairy at non-kosher restaurants
At home
To some degree
Almost never/Not at all
Shomer Negiya
Fully Shomer
Partially Shomer
Will not be Shomer
Shomer Negiya: No physical contact with opposite gender until marriage
Would you send your kids to Yeshiva?
Definitely
Depends
Never
Tzniut
Jewish Modest Dress Code
Do you wear Pants or Jeans?
Yes
No
Sometimes
What length do you wear your skirts?
Above Knees
On Knees
Below Knees
How tight do you wear your skirts?
Form fitting
Tight but not form fitting
Loose
How short do you wear your sleeves?
Short Sleeves
Slightly above elbow
Slightly below elbow
Full Sleeves
Hair Covering
Only Mitpachot (head scarves)
Both wigs and mitpachot
Only Wig
Sometimes covered
Open about covering, but may take time
Don't want to cover
Back
Next
My Education & Profession
Maximum Secular Education
Elementary
High School
Some College
Vocational/Technical School
Associate's Degree
Bachelor's Degree
Master's Degree
Law Degree
Medical Degree
Doctorate/PhD
Name of Elementary School
Name of High School/Yeshiva
Name of College(s) or Universities
Emphasis of Studies in College
Jewish Education
Orthodox Day School
Seminary (after high school)
Shiurim/Lectures
Hebrew School
Self Reading
None
Did you go to Seminary after high school?
Yes
No
For how long?
i.e. 6 months, 1 yr
Profession (if any)
Back
Next
My Appearance
Photo 1: Clear close up head shot (no sunglasses or filters)
*
Browse Files
Cancel
of
Photo 2: Clear full length picture
Browse Files
Cancel
of
Photo 3: Family photo (optional)
Browse Files
Cancel
of
Hair Color
Bald/Shaved
Black
Blonde
Brown
Dark Brown
Dirty Blonde
Gray
Light Brown
Platinum Blonde
Red
Salt & Pepper
Silver/White
Strawberry Blonde
Eye Color
Black
Blue
Blue Gray
Blue Green
Brown
Dark Brown
Gray
Green
Green Brown
Green Gray
Hazel
Hazel Brown
Turquoise
Height
>4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
Do you have medical/physical/mental disability
Yes
No
If yes,then please describe
*
Back
Next
Family
Marital Status
*
Single (Never Married)
Divorced
Widowed
How long were you married for?
*
Less than 1 year
1-5 years
5+ years
How long have you been single?
*
1-6 months
7-12 months
1-5 years
5+ years
How many times have you been divorced?
*
1
2
3
4
5
Do you have a Jewish Divorce ("Get")
*
Yes
No
I don't need one
Do you have a civil divorce
*
Yes
No
Never had a civil marriage
Only had a religious marriage ceremony in Israel
Divorce Comments
Do you have children?
Yes
No
If so, number of children
*
1
2
3
4
5
6
7
8
9
10
10+
How many of them live with you?
*
0
1
2
3
4
5
6
7
7+
Age of the youngest
*
Do you want to have (additional) children
Yes, want to have children
No, don't want children
Undecided
Can you marry a Cohen?
Yes
No
I don't know
Place of Birth
Citizenship Status
Number of Siblings
0
1
2
3
4
5
6
7
7+
Current Location of parents
Name of parents' Shul
Back
Next
Lifestyle
Smoking Habits
Non-Smoker
Occasional Smoker
Smoke Regularly
Trying to quit
What music do you listen to?
Jewish
Israeli
Hip Hop
Classical
Electronic dance music
Jazz
Rock
Rap
Country
Are you willing to relocate if needed upon marriage?
Yes
No
Depends where
i.e. different city, state, country
What is your primary language?
English
Hebrew
Arabic
Chinese
French
German
Italian
Persian/Farsi
Polish
Portuguese
Romanian
Russian
Spanish
Yiddish
Other
Languages Spoken
English
Hebrew
Arabic
Bukharian
Chinese
Dutch
French
German
Italian
Japanese
Persian/Farsi
Polish
Portuguese
Romanian
Russian
Spanish
Uzbek
Yiddish
Other
Back
Next
My Match Criteria
Desired Age Range
*
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
80+
To
*
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
80+
Desired Height range
*
>4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
To
>4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
Desired Marital Status in Potential Match
Any
Single (Never Married)
Divorced
Widowed
Maximum Secular Education of Potential Match
Elementary
High School
Some College
Vocational/Technical School
Associate's Degree
Bachelor's Degree
Master's Degree
Law Degree
Medical Degree
Doctorate/PhD
i.e. GED, high school, etc
Is it acceptable if the potential match has children?
Yes
No
Acceptable Religious Orientation of potential match
Religious
Not yet Religious
Not planning on being Religious
Ba'al Teshuva
Convert
Acceptable Smoking Habits
Non-Smoker
Occasional Smoker
Smoke Regularly
Trying to quit
Are you okay with dating someone with a disability?
Yes
No
i.e. mental, physical, etc
Acceptable Kosher observance of potential match
Always
Only At home
At home & I eat dairy at non-kosher restaurant
At home only
To some degree
Almost never/Not at all
Are you okay with dating a ba'al teshuva?
Yes
No
I don't know
Ba'al teshuva- someone was not religious but became later.
Acceptable country where potential match lives
USA
Israel
Canada
Other
Where in the USA is acceptable for potential match to live?
Anywhere in the USA
Arizona
California
Florida
Georgia
New Jersey
New York
Other
Advanced Search Match Preferences
Preference regarding potential match's family's religious background
Religious
Traditional
Spiritual but not religious
Secular
Baal Teshuva
Preference of Jewish Education in potential match
Any
Orthodox day School
Yeshiva/Seminary
Shiurim/Lectures
Hebrew School
Self Reading
None
Preference regarding potential match's ethnicity
Ashkenazi
Sephardi
Mizrachi
Mixed/Other
Preference regarding potential match's cultural background
Any
American
Bukharian
Eastern European
Israeli
Persian
Russian
Syrian
Other
Preferred level of Sabbath Observance
Fully Shomer Sabbath
Partially Shomer Sabbath
Traditional Sabbath observance
No Sabbath observance
Preferred times potential match prays daily
3x a day
1x a day
Weekly
Occasionally
Never
Learning Torah
Full time learning
Daily
Several times weekly
Weekly
Occasionally
Never
Phone Number
*
Back
Next
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 Name
Last Name
Title
Ms.
Mr.
Mrs.
Dr.
Rabbi
Phone Number
*
Email
example@example.com
Relationship to reference
*
Name of Reference 2
First Name
Last Name
Title
Ms.
Mr.
Mrs.
Dr.
Rabbi
Phone Number
Email
example@example.com
Relationship to reference
Name of Reference 3
First Name
Last Name
Title
Ms.
Mr.
Mrs.
Dr.
Rabbi
Mr. & Mrs.
Rabbi & Mrs.
Phone Number
Email
example@example.com
Relationship to reference
Submit
Should be Empty: