North Jersey Shidduch Club - Application

Today's Date: 04/01/20
Please Note! Please prepare a picture of yourself before filling out a form, as you will not be matched without one. Also, we must have your actual date of birth.

Form 1 of 3

Personal Information
Matchmaker you know on this site:    
First Name: Last Name:
Home Phone: (area code + number) Cell Phone: (area code + number)
Street Address: City:
State: Zip Code:
Email: Gender: Male    Female
Date of Birth:

Physical Information
Height (enter feet and inches):
Hair Color: Eye Color:
Body Type:

Secular Education
Jewish Education
Highest Level of Secular Education: Highest Level of Jewish Education:
Elementary School:Did you spend a year studying in Israel? Yes  No
High School:       If yes, where?
College:Do you plan to take off time to learn full-time?Yes  No
Emphasis of Studies:  
What is your current occupation?
Please give a brief description of your job: