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This is a membership application used solely by Best Buddies International to track
our volunteers and this information will remain strictly confidential. Accepted
applications entitle you to the full rights and protection of Best Buddies International
as a volunteer and the full benefits of all members of the organization. This application
must be completed in order to participate in Best Buddies.
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Your Chapter
Date: 7/30/2010
This is the college or university where you are enrolled as a student. For non-students,
this is the college or university with which your host site, agency, or school is
associated for the Best Buddies program.
*Select the College you are associated with:
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Your Information
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Title:
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*First Name:
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*Last Name:
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Suffix:
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*Date Of Birth:
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What country you were born in?:
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*Gender:
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*Phone:
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If
you do not have a home phone number please check the box.
Show phone number to chapter members?
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*Cell Phone:
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If
you do not have a cell phone number please check the box.
Show cell phone number to chapter members?
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*Email:
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If
you do not have an email please check the box.
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Current Address
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*Street Address:
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Address Line 2:
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(for apt #, dorm hall, etc.)
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*City:
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*State: *State
Outside US:
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*Zip Code:
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*Country:
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Permanent Address |
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*Street Address:
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Address Line 2:
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(for apt #, dorm hall, etc.)
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*City:
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*State:*State
Outside US:
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*Zip Code:
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*Country:
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