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Hi!

We're happy to try to help you find your bashert.

Please fill out the questionnaire below. Only singles themselves may fill out this form.

Look forward to hearing good news IY"H soon!

The Bashert Now! Team

WHAT WE DO: Bashert Now! emails shidduch resumes of Chabad singles to a global network of over 350 Chabad shadchanim, shluchim, and other people involved in shidduchim.

We will email your resume to our global network. If a shadchan has a shidduch idea for you, they will contact you directly.

COST: Bashert Now! is a free service to singles; however, anyone who wants to is welcome to make a tax-deductible donation at www.bashertnow.org/donate.

Your Contact Info

First Name: *

Last Name: *

Your Email: *

Your Cell Phone #: *

About

Your Age: *

Height: *

Religious Affiliation:

Are you:

Marital Status:

How many kids do you have?

Are you a: * Man Woman *

If you are a MAN, are you a COHEN?

Do you live in Crown Heights? *

Yes No

What languages besides English do you speak fluently:

Hebrew Russian Spanish French Other If "Other," what? *

Your Parent's Contact Info

First Name: *

Last Name: *

Is this your Mom or your Dad? *

Phone #: *

Email: *

Other Parent First Name: *

Other Parent Last Name: *

Contact Info on Your Profile*

Whose contact info should we list on your profile? This is who will be contacted by the shadchans.

This should be: You Your shadchan Your Mom Your Dad Your married sibling Your married friend Other *

Write the person's relationship to you: *

Write the person's name: *

Write the person's email address: *

Write the person's phone #: *

By listing this info above, you agree that you have permission to list his/her contact info on your resume.

Your Chabad Rabbi or Rebbetzin

His/Her name: *	Phone #: *	Email Address: *	His/Her City, State: *
His/Her name: *	Phone #: *	Email Address: *	His/Her City, State: *
His/Her name: *	Phone #: *	Email Address: *	His/Her City, State: *

Dor Yeshorim

Did you take the Dor Yeshorim test? * Yes No *

Education
List the most recent first.

Yeshiva/Seminary: Which school? *

Secular Education: Which school and degree?

Secular Education: Which school and degree? *

Occupation

What do you do?

Personal Description

Please write 3-6 sentences about you. Include information on any of the following: your background/childhood/upbringing, personality, character traits, interests, occupation, hashkafa, vision for married life, and or anything else you think a shadchan would need to know.

(Our profiles are emailed to shadchanim, Chabad shluchim, and other people involved in shidduchim. They will send on your profile to any singles they think are shayich, so please write this section accordingly.)

Looking For

1. Age Range:

2. Background:

FFB BT Convert

3. Hashkafa you are looking for:

Frum Chabad Modern Chabad Other: If "Other," what? *

4. Please write 3-6 sentences describing the person you are looking to marry. Include information on any of the following: his/her character traits, occupation, personality, hashkafa, and anything else you think a shadchan would need to know.

(Our profiles are emailed to shadchans, Chabad shluchim, and married people involved in shidduchim. They will send on your profile to any singles they think are shayich, so please write this section accordingly.)

References

1. Name:

His/Her Phone #:

Relationship to You:

2. Name:

His/Her Phone #:

Relationship to You:

3. Name:

His/Her Phone #:

Relationship to You:

4. Name:

His/Her Phone #:

Relationship to You:

5. Name:

His/Her Phone #:

Relationship to You:

6. Name:

His/Her Phone #:

Relationship to You:

7. Name:

His/Her Phone #:

Relationship to You:

Photo*
Please attach 1-3 of your best photos (such as how you would appear on a date or erev Shabbos).

Max file size: 20 MB

Who Referred You to Bashert Now!?
We’re not listing this on your profile; it’s just for our internal records.

Name of the Person:*

Your Hebrew Name
(Please use only English letters below. This info is not going on your profile but only in our internal records so that we can daavin for you. We go to the Ohel once/month around Rosh Chodesh to daavin for all the singles in Bashert Now!)

Your Hebrew Name: *

Your Mom's Hebrew Name: *

* YOU AGREE: By filling out this questionnaire, you give Bashert Now! permission to email your resume and photo to our global shadchan network of more than 350 Chabad shadchanim, shluchim, and people involved in shidduchim.

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