Darche Noam Institutions
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The Darche Noam Alumni Shidduch Form

Here's how it works:
Print out the following Darche Noam Alumni Shidduch Form.
Mail it, with a $10 processing fee and a recent photograph, to
Mrs. Tova Well,
144-22 68th Rd,
Flushing, NY 11367
You can also fax the form to her at (718) 520 7515 (This phone number has an answering machine on it.).
You can contact her by phone at (718) 261 3525 (This phone number also has an answering machine on it.).
Mrs. Well will contact you by phone to arrange a meeting.

Personal Profile

Your name: first last
Male Female
Kohen


Address:
street and number
city state zip
country

Phone number:

tel # work # cellphone#

Email address

Age
Date of Birth: date month year
Please note that our programs are designed to service the needs of those 24 years of age and older, and entering your correct date of birth is essential to that end.

Height

Smoker Non-smoker

Country parents were born in:
Father:
Mother:

Educational Background

High School:
Post H.S. Program (in Israel):
College:
Graduate School:
Other:

Occupation

Current Occupation and Employer:

Marital Status and Religious Background

Never Married Widowed Divorced
(Rabbi who officiated: )

Children
- if so, how many and ages:

"Frum-from-Birth" Baal Teshuvah Ger Tzedek
If Baal Teshuvah, since when?
If Ger Tzedek, since when?
Rabbi who officiated:
Rabbi's Phone Number

For women: What do you plan to do about hair covering after marriage?


How would you describe your level of religious commitment?

Would you relocate? Yes No

Would you make Aliyah? Yes No

Personality Traits

As honestly as possible, please describe the following aspects of your personality by checking one of the five circles in each pair of character traits that most closely describes you (3=very much; 2=somewhat; 1=equally):

Introvert/Quiet
3 2 1 2 3
Extrovert/Outgoing
Intellectual
3 2 1 2 3
Emotional
Thought out
3 2 1 2 3
Spontaneous
Simple/Earthy
3 2 1 2 3
Materialistic

Interests:
Learning
Lectures/Shiurim
Art/Music
Sports/Athletics
Movies/Theatre
Travel

Other:

What are you Looking for in a Mate?

Age Range:
Appearance:
Educational Background:
Level of Frumkeit/Religiosity :
Personality:
Would you go out with someone who is divorced? Yes No
If yes, with children?

Would you go out with someone who is widowed? Yes No
If yes, with children?

References

1.
Relationship: Rabbi/Rebbetzin
Phone:

2.
Relationship:

Phone:

If we are asked by other Shidduch organizations to share our database with them, would you want us to include your name, address, and/or phone number(s)? (Please check one:)
Name/Address only Name/Phone(s) only All three None


With the help of G-d, when the shidduch works out:
When a shidduch progresses successfully to marriage, the Halakha, following the custom of each community, views a monetary payment from the couple to the shadchan as a serious legal and spiritual obligation. In our case, the Roshei Yeshiva determined $1000 from the couple (to be split between Darche Noam and the shadchanit) as the minimum appropriate amount. In situations of financial need, please consult the Roshei Yeshiva.
Berakha Vehatzlacha