Elite Matchmaking Application

First name

Last name

Gender
—Please choose an option—MaleFemale

Phone number

Email

Social media handle/link

Height (ft & in)
—Please choose an option—4' 04' 14' 24' 34' 44' 54' 64' 74' 84' 94' 104' 115' 05' 15' 25' 35' 45' 55' 65' 75' 85' 95' 105' 116' 06' 16' 26' 36' 46' 56' 66' 76' 86' 96' 106' 117' 07' 17' 27' 37' 47' 57' 67' 77' 87' 97' 107' 11

Weight
—Please choose an option—44 lbs46 lbs48 lbs50 lbs52 lbs55 lbs57 lbs59 lbs61 lbs63 lbs66 lbs68 lbs70 lbs72 lbs74 lbs77 lbs79 lbs81 lbs83 lbs85 lbs88 lbs90 lbs92 lbs94 lbs97 lbs99 lbs101 lbs103 lbs105 lbs108 lbs110 lbs112 lbs114 lbs116 lbs119 lbs121 lbs123 lbs125 lbs127 lbs130 lbs132 lbs134 lbs136 lbs138 lbs141 lbs143 lbs145 lbs147 lbs149 lbs152 lbs154 lbs156 lbs158 lbs160 lbs163 lbs165 lbs167 lbs169 lbs171 lbs174 lbs176 lbs178 lbs180 lbs182 lbs185 lbs187 lbs189 lbs191 lbs194 lbs196 lbs198 lbs200 lbs202 lbs205 lbs207 lbs209 lbs211 lbs213 lbs216 lbs218 lbs220 lbs222 lbs224 lbs227 lbs229 lbs231 lbs233 lbs235 lbs238 lbs240 lbs242 lbs244 lbs246 lbs249 lbs251 lbs253 lbs255 lbs257 lbs260 lbs262 lbs264 lbs266 lbs268 lbs271 lbs273 lbs275 lbs277 lbs279 lbs282 lbs284 lbs286 lbs288 lbs291 lbs293 lbs295 lbs297 lbs299 lbs302 lbs304 lbs306 lbs308 lbs310 lbs313 lbs315 lbs317 lbs319 lbs321 lbs324 lbs326 lbs328 lbs

Year of birth

Location

Marital Status
—Please choose an option—DivorcedWidowedSingle

Education
—Please choose an option—Grad School, PhDLaw DegreeCollege DegreeSome CollegeHigh School

Do you smoke?
—Please choose an option—YesNoQuittingSocial

Ethnicity
—Please choose an option—WhiteAfrican AmericanHispanicAsianIndianMiddle EasternOther

Hair Color
—Please choose an option—BlackBrownRedBlondAuburn

In what religion were you raised?
—Please choose an option—CatholicChristianMethodistProtestantJewishAtheistOtherNo Comment

What is your profession?

Graduate degree and school

Do you have children?
—Please choose an option—YesNo

Do you want children?
—Please choose an option—YesNo

Do you have siblings?
—Please choose an option—YesNoUnknown

Are your parents still married?
—Please choose an option—YesNoUnknown

How did you hear about us?

If Internet search, what was the search term?

Where did you grow up?

Are you well traveled and where?

What languages do you speak?

Are you athletic and what is your sport or activity?

Looking For
—Please choose an option—FemaleMale

Preferred Ethnicities
—Please choose an option—WhiteAfrican AmericanHispanicAsianIndianMiddle EasternOther

Preferred Faith/Religion
—Please choose an option—CatholicChristianMethodistProtestantJewishAtheistOtherNo Comment

Preferred Education Level
—Please choose an option—Grad School, PhDLaw DegreeCollege DegreeSome CollegeHigh School

Preferred Height (ft & in)

Preferred Body Type
—Please choose an option—AthleticAverageCurvyFitSlimA few extra pounds

Would you date someone who smokes?
—Please choose an option—YesNoQuittingSocial

Would you date someone who drinks alcohol?
—Please choose an option—NoYes, sociallyYes, regularlyYes, rarely

Deal breakers

Describe your ideal partner

Head Shot 1

Body Shot 1