get started

Please complete the form below to get started with Special Match. The Support Contact could be a parent or other family member over 21, a staff person at your residential community, or a conservator.

Support Contact First Name

Support Contact Last Name

Support Contact Email

Support Contact Phone Number

Support Contact Mailing Address

What are your goals for your loved one?

Participant First Name

Participant Last Name

Participant Email Address

Participant Phone Number

Participant Mailing Address

Participant Date of Birth

Month

Day

Year

Gender Identity

Female

Male

Non-Binary

Prefer Not to Say

I am interested in meeting

Women to Date

Women for Friendship

Men to Date

Men for Friendship

Why are you interested in Special Match?

Where did you attend High School?

Did you attend a post-secondary school? If so what is the name of the school and how many years did you attend?

What is your current living status?

I live at home with my family

I live independently

I live in a residential community

Other

Please list any employers or volunteer organizations you work for, with a brief description of your role.

Please tell us a little about your hobbies and interests.

Please tell us a little about your dating experience. Which sounds most like your experience?

I have never dated.

I have dated a little but never been in a relationship.

I have dated a lot but have not been in a relationship.

I have dated and have been in a relationship.

Other