Singles Response Form

Our web site provides opportunities for Orthodox singles to connect, initially via email, and then in person, for friendship, companionship and long-term commitment leading to marriage.

To respond to the selected bio, fill out the brief questionnaire below. This information will be passed along to (only) the specific individual you desire to make contact with. If there's mutual interest, you will hear back directly from him or her.

Name:
City, State:
Email Address:
Birthday [Mo/Dy/Yr]:
I'd like this forwarded to (Name or ID#):

My Personal Information:
Undergraduate School/Degree/Major
Graduate School/Degree/Major
Study Abroad/Where/How Long
Occupation:
Originally from:
Shul Affiliation:
Name of Rabbi:
I really enjoy..
I can do without..
My idea of a pleasant date is..
Friends tell me I'm...
I'd like to meet someone who is..
Your Bio caught my interest because..
My suggestion for possible follow-up is..




| Home Page | Message Boards | Comments |
Young Israel of Brookline
1996-2006 All Rights Reserved