Your Application for Membership

Full Name e.g John Doe

Year of Birth Select year 2005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945 20+ only

Gender Select your gender Male Female Non-Binary Other e.g Male

Sexual Orientation Select your sexual orientation Straight Gay Lesbian Bisexual Pansexual Asexual Other e.g Straight

Email Address e.g JohnDoe@email.com

Phone Number e.g + 1 800 555 0100

Relationship Goals

Dealbreakers & Preferences

Relationship Status Select status Single Divorced Widowed Separated e.g Single

Religion Select religion Christian Muslim Jewish Hindu Buddhist Agnostic Atheist Spiritual Other e.g Christian, Agnostic

Genotype Select genotype AA AS AC SS SC CC Unknown e.g AA

Kids Select no of kids No kids 1 kid 2 kids 3 kids 4+ kids

Citizenship Status Select Citizenship Status Canadian Citizen Permanent Resident Work Permit Student Visa Other e.g Canadian Citizen, Permanent Resident

Employment Status Select status Employed Full-time Employed Part-time Self-Employed Student Unemployed Retired e.g Employed fulltime

Industry Select your industry Technology Healthcare Finance Education Engineering Arts & Entertainment Legal Hospitality Retail Other e.g Technology, Healthcare

Job Role e.g Software Engineer, Doctor

Salary Range Select salary range Under CAD $40,000 CAD $40,000 - $60,000 CAD $60,000 - $80,000 CAD $80,000 - $100,000 CAD $100,000 - $150,000 CAD $150,000 - $200,000 Over CAD $200,000 e.g CAD $60,000-$80000

Select up to 5 availability dates and times

Provide multiple options to help us find a time that works for both schedules

Government ID We only accept Driver's licenses & International Passports.

Vulnerable Sector Check