NORTH JERSEY SHIDDUCH CLUB

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.

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

Physical Information  
Height:
Hair Color: Eye Color:
Body Type:

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