Get Started – Simcha Link

To which Shadchanim would you like to submit your profile?* Shelly Adler - To fill out Shelly Adler's form, click here.

To which Shadchanim would you like to submit your profile?*

Freyda Falik
Tzodek Katz
Estie Karman
Sora Krupenia
Rivkie Levitin
Faith Shabat
Nina Siegal

Gender*

Male
Female

First Name*

Last Name*

Hebrew Name

Address*

Street Address City State Zip

Cell Phone*

Home Phone

Work Phone

Email*

Birthdate*

Birthdate

MM

DD

YYYY

Height

Feet

Inches

Build

Are you a Kohen?*

Are you a Kohen?

Yes
No

Are you able to marry a Kohen?*

Are you able to marry a Kohen?

Yes
No

Jewish Education (please include school/yeshiva)

Name of School/Yeshiva*

Name of School/Yeshiva

Secular Education (Degree Earned)*

Secular Education (Degree Earned)

Current Occupation Status (select all that apply)*

Current Occupation Status (select all that apply)

Please explain.*

Current School*

Employer*

Please list 3 references.

Reference Name*

Reference Relationship*

Reference Phone Number*

Reference Name*

Reference Relationship*

Reference Phone Number*

Reference Name*

Reference Relationship*

Reference Phone Number*

Which synagogue do you attend?*

Who is your Rabbi?*

Rabbi's Phone Number*

Have you always been observant?*

Have you always been observant?

Yes
No

In what year did you become observant?*

Are you a convert?*

Are you a convert?

Yes
No

In what year did you convert?*

Rabbi Who Performed Your Conversion:

Name*

Phone Number*

Have you ever been married?*

Have you ever been married?

Yes
No

Are you divorced or widowed?*

Are you divorced or widowed?

Divorced
Widowed

Rabbi Who Arranged Divorce:

Name*

Phone Number*

In what year were you divorced?*

Please enter a number from 1900 to 2020.

In what year were you widowed?*

Please enter a number from 1900 to 2020.

Do you have children?*

Do you have children?

Yes
No

Please list them.

Gender	Date of Birth

Would you date someone previously married?*

Would you date someone previously married?

Yes
No
Possibly

Would you travel to meet someone?*

Would you travel to meet someone?

Yes
No
Possibly

Would you relocate?*

Would you relocate?

Yes
No
Possibly

Would you date someone with children?*

Would you date someone with children?

Yes
No
Undecided

Where do you stand on women covering hair?*

Where do you stand on women covering hair?

Yes
No
Undecided

Do you want to live in Israel?*

Do you want to live in Israel?

Yes
No
Undecided

Would you date a Ba'al Teshuva?*

Would you date a Ba'al Teshuva?

Yes
No
Undecided

Would you date a convert?*

Would you date a convert?

Yes
No
Undecided

Please describe yourself, e.g., your personality, your level of religious observance, your minhagim, your hobbies, interests and whatever else you think is pertinent for us to know about you.

Describe Yourself*

Please describe the qualities you seek in a mate, e.g., personality, level of religious observance, minhagim, physical appearance, and whatever else you think is pertinent for us to know.

Describe Qualities Seeking in Mate*

Who referred you to Simcha Link?

Profile Picture (jpg, max 150 Kb)*