RAJEMate - Find your outRAJEous soulmate!

Personal Information

Last Name:
First Name:
Hebrew Name if any:
Date of Birth:
Daytime Phone:
Evening/Alternate Phone:
Email address:
Ethnicity:
Would like to date only:
Are you a Cohen? Yes No
Practicing Judaism:
Family Status:
# of Siblings if any:
Children if any:
Location of birth:
Would you relocate?
Yes No Not sure
Do you want to move to Israel? Yes No Not sure
Hair covering after marriage: Yes No
Kipa: Yes No
Tzizit: Yes No

Jewish Education

Jewish Education
Yes No
If yes, what is the name of the school?
Describe in words, your family's religious background if any:

Secular Education

Name of High school
Name of College(s) or Universities:
Graduate School:
Occupation:

Hobbies and interests

Hobbies and interests:

Height:
Build:
Do you smoke?
Yes No

Personality Traits:

Insecure/Nervous
Adventurous / Wild / Spontaneous
Argumentative
Artistic
Compulsive
Conservative/Clean Cut
Earthy
Easygoing / Flexible / Open-Minded
Eccentric Flamboyant
Flirtatious / Playful
Friendly / Kind
High Energy
High Maintenance
Humorous/Witty
Intellectual

Low Maintenance
Sensitive / Nurturing / Loving
Outgoing
Practical
Procrastinator
Quiet / Shy
Romantic
Self Confident
Serious / Responsible
Simple
Sophisticated / Worldly
Spiritual
Stubborn
Talkative
Unconventional / Free-Spirited
Intense
Fun-Loving
Please give a short description of yourself
Describe what you are looking for in a mate:

References:

References (non-Family)
Full name
Phone number
Family References
Full name
Phone number