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Thank you for visiting bestbuddiesonline.org! Best Buddies Online is a one-stop shop for all Best Buddies chapters to communicate with their members, complete and submit paperwork, and communicate with Best Buddies staff.
To join your local Best Buddies chapter, simply click on the “Membership Application” link below. Be sure to select the appropriate program – Colleges, High Schools, or Middle Schools – so that you are directed to the appropriate form. No login is needed to complete a Membership Application.
After your application has been approved by chapter leadership, you will receive a login and password via email so that you can access your chapter’s portal and view the calendar, roster, announcements, and other important information. Thank you for helping Best Buddies to make a difference one friendship at a time!
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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.
Your Chapter
Date:
3/10/2010
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:
Agnes Scott College, Decatur, Georgia
Albion College, Albion, Michigan
Allegheny College, Meadville, Pennsylvania
American University, Washington, District of Columbia
Arizona State University, Tempe, Arizona
Auburn University, Auburn, Alabama
Augustana College, Rock Island, Illinois
Austin College, Sherman, Texas
Azusa Pacific University, Azusa, California
Babson College, Babson Park, Massachusetts
Ball State University, Muncie, Indiana
Barry University, Miami Shores, Florida
Baruch College, New York, New York
Baylor University, Waco, Texas
Bellarmine University, Louisville, Kentucky
Benedictine University, Lisle, Illinois
Biola University, La Mirada, California
Bloomsburg University, Bloomsburg, Pennsylvania
Boston College, Chestnut Hill, Massachusetts
Boston University, Boston, Massachusetts
Bradley University, Peoria, Illinois
Briar Cliff University, Sioux City, Iowa
Brigham Young University, Provo, Utah
Brown University, Providence, Rhode Island
Bucknell University, Lewisburg, Pennsylvania
Buena Vista University, Storm Lake, Iowa
Buffalo State College, Buffalo, New York
Butler University, Indianapolis, Indiana
California University of Pennsylvania, California, Pennsylvania
Carnegie Mellon University, Pittsburgh, Pennsylvania
Carson-Newman College, Jefferson City, Tennessee
Cedar Crest College, Allentown, Pennsylvania
Centenary College of Louisiana, Shreveport, Louisiana
Central College, Pella, Iowa
Central Connecticut State University, New Britain, Connecticut
Central Michigan University, Mount Pleasant, Michigan
Centre College, Danville, Kentucky
Clark University, Worcester, Massachusetts
Colby College, Waterville, Maine
College of Charleston, Charleston, South Carolina
College of Mount Saint Vincent, Riverdale, New York
College of Notre Dame of Maryland, Baltimore, Maryland
College of Saint Rose, Albany, New York
College of the Holy Cross, Worcester, Massachusetts
Connecticut College, New London, Connecticut
Cornell College, Mount Vernon, Iowa
Cornell University, Ithaca, New York
Creighton University, Omaha, Nebraska
Delaware State University, Dover, Delaware
DePaul University, Chicago, Illinois
DePauw University, Greencastle, Indiana
DeSales University, Center Valley, Pennsylvania
Drake University, Des Moines, Iowa
Duke University, Durham, North Carolina
Duquesne University, Pittsburgh, Pennsylvania
East Stroudsburg University, East Stroudsburg, Pennsylvania
Eastern Connecticut State University, Willimantic, Connecticut
Eastern Illinois University, Charleston, Illinois
Eastern Michigan University, Ypsilanti, Michigan
Eckerd College, St. Petersburg, Florida
Elizabethtown College, Elizabethtown, Pennsylvania
Elmhurst College, Elmhurst, Illinois
Emerson College, Boston, Massachusetts
Emory University, Altanta, Georgia
Fairfield University, Fairfield, Connecticut
Fitchburg State College, Fitchburg, Massachusetts
Flagler College, St. Augustine, Florida
Florida Institute of Technology, Melbourne, Florida
Florida International University, Miami, Florida
Florida Southern College, Lakeland, Florida
Florida State University, Tallahassee, Florida
Franklin College, Franklin, Indiana
Frostburg State University, Frostburg, Maryland
Gallaudet University, Washington, District of Columbia
George Mason University, Fairfax, Virginia
George Washington University, Washington, District of Columbia
Georgetown University, Washington, District of Columbia
Georgia College & State University, Milledgeville, Georgia
Georgia Southern University, Statesboro, Georgia
Grace College, Winona Lake, Indiana
Grand Valley State University, Allendale, Michigan
Gwynedd Mercy College, Gwynedd Valley, Pennsylvania
Hanover College, Hanover, Indiana
Harvard University, Cambridge, Massachusetts
Hood College, Frederick, Maryland
Houston Baptist University, Houston, Texas
Illinois College, Jacksonville, Illinois
Illinois State University, Normal, Illinois
Illinois Wesleyan University, Bloomington, Illinois
Indiana University of Bloomington, Bloomington, Indiana
Indiana University of Pennsylvania, Indiana, Pennsylvania
Indiana University/Purdue University at Indianapolis, Indianapolis, Indiana
Iona College, New Rochelle, New York
Iowa State University, Ames, Iowa
Jacksonville University, Jacksonville, Florida
James Madison University, Harrisonburg, Virginia
Johns Hopkins University, Baltimore, Maryland
Knox College, Galesburg, Illinois
Kutztown University, Kutztown, Pennsylvania
La Sierra University, Riverside, California
Lafayette College, Easton, Pennsylvania
Lamar University, Beaumont, Texas
Lehigh University, Bethlehem, Pennsylvania
Lewis University, Romeoville, Illinois
Louisiana College, Pineville, Louisiana
Louisiana State University, Baton Rouge, Louisiana
Loyola College, Baltimore, Maryland
Loyola University - Chicago, Chicago, Illinois
Lycoming College, Williamsport, Pennsylvania
Lynn University, Boca Raton, Florida
Marian University, Indianapolis, Indiana
Marquette University, Milwaukee, Wisconsin
Massachusetts Institute of Technology, Cambridge, Massachusetts
McDaniel College, Westminister, Maryland
McNeese State University, Lake Charles, Louisiana
Merrimack College, North Andover, Massachusetts
Messiah College, Grantham, Pennsylvania
Miami Dade College - Inter-American Campus, Miami, Florida
Miami Dade College - North Campus, Miami, Florida
Miami University of Ohio, Oxford, Ohio
Midway College, Midway, Kentucky
Millersville University, Millersville, Pennsylvania
Millikin University, Decatur, Illinois
Morehead State University, Morehead, Kentucky
Morningside College, Sioux City, Iowa
Mount Holyoke College, South Hadley, Massachusetts
Mount Mercy College, Cedar Rapids, Iowa
Mount Saint Mary's University, Emmitsburg, Maryland
Muhlenberg College, Allentown, Pennsylvania
Murray State University, Murray, Kentucky
New College of Florida, Sarasota, Florida
New York University, New York, New York
Northeastern University, Boston, Massachusetts
Northern Illinois University, DeKalb, Illinois
Northwestern University, Evanston, Illinois
Ohio State University, Columbus, Ohio
Olivet Nazarene University, Bourbonnais, Illinois
Pennsylvania State University, University Park, Pennsylvania
Princeton University, Princeton, New Jersey
Providence College, Providence, Rhode Island
Purdue University, West Lafayette, Indiana
Quinnipiac University, Hamden, Connecticut
Rice University, Houston, Texas
Roanoke College, Salem, Virginia
Rose-Hulman Institute of Technology, Terre Haute, Indiana
Sacred Heart University, Fairfield, Connecticut
Saint Catherine University, Saint Paul, Minnesota
Saint Edward's University, Austin, Texas
Saint Francis University, Loretto, Pennsylvania
Saint Joseph College, West Hartford, Connecticut
Saint Joseph's University, Philadelphia, Pennsylvania
Saint Mary's University, San Antonio, Texas
Saint Michael's College, Colchester, Vermont
Saint Vincent College, Latrobe, Pennsylvania
Salisbury University, Salisbury, Maryland
Salve Regina University, Newport, Rhode Island
Sam Houston State University, Huntsville, Texas
San Diego State University, San Diego, California
Siena College, Loudonville, New York
Simpson College, Indianola, Iowa
Slippery Rock University, Slippery Rock, Pennsylvania
Smith College, Northampton, Massachusetts
Sonoma State University, Rohnert Park, California
Southeastern Louisiana University, Hammond, Louisiana
Southern Connecticut State University, New Haven, Connecticut
Southern Methodist University, Dallas, Texas
Southern University, Baton Rouge, Louisiana
Southwestern University, Georgetown, Texas
Spalding University, Louisville, Kentucky
Springfield College, Springfield, Massachusetts
Stanford University, Stanford, California
Stephen F. Austin State University, Nacogdoches, Texas
Stevenson University, Stevenson, Maryland
Stonehill College, Easton, Massachusetts
Suffolk University, Boston, Massachusetts
Taft College, Taft, California
Temple University, Philadelphia, Pennsylvania
Texas A&M University, College Station, Texas
Texas Christian University, Fort Worth, Texas
Texas State University, San Marcos, Texas
Texas Tech University, Lubbock, Texas
The Catholic University of America, Washington, District of Columbia
The College of New Jersey, Ewing, New Jersey
The University of Chicago, Chicago, Illinois
Towson University, Towson, Maryland
Transylvania University, Lexington, Kentucky
Trinity College, Hartford, Connecticut
Trinity University, San Antonio, Texas
Tufts University, Medford, Massachusetts
Tulane University, New Orleans, Louisiana
Union College, Schenectady, New York
University of Alabama, Tuscaloosa, Alabama
University of Arizona, Tucson, Arizona
University of California, Berkeley, Berkeley, California
University of California, Davis, Davis, California
University of California, Irvine, Irvine, California
University of California, Los Angeles, Los Angeles, California
University of California, Merced, Merced, California
University of California, Riverside, Riverside, California
University of California, San Diego, La Jolla, California
University of California, Santa Barbara, Santa Barbara, California
University of Central Florida, Orlando, Florida
University of Colorado, Boulder, Boulder, Colorado
University of Connecticut, Storrs, Connecticut
University of Dallas, Irving, Texas
University of Dayton, Dayton, Ohio
University of Delaware, Newark, Delaware
University of Evansville, Evansville, Indiana
University of Florida, Gainesville, Florida
University of Georgia, Athens, Georgia
University of Hartford, West Hartford, Connecticut
University of Houston, Houston, Texas
University of Illinois at Urbana Champaign, Urbana, Illinois
University of Indianapolis, Indianapolis, Indiana
University of Iowa, Iowa City, Iowa
University of Kansas, Lawrence, Lawrence, Kansas
University of Kentucky, Lexington, Kentucky
University of Louisiana at Lafayette, Lafayette, Louisiana
University of Louisville, Louisville, Kentucky
University of Mary Washington, Fredericksburg, Virginia
University of Maryland, Baltimore County, Baltimore, Maryland
University of Maryland, College Park, College Park, Maryland
University of Massachusetts, Amherst, Amherst, Massachusetts
University of Miami, Coral Gables, Florida
University of Michigan, Ann Arbor, Michigan
University of Nevada, Las Vegas, Las Vegas, Nevada
University of New Mexico, Albuquerque, New Mexico
University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
University of North Florida, Jacksonville, Florida
University of Northern Colorado, Greeley, Colorado
University of Northern Iowa, Cedar Falls, Iowa
University of Notre Dame, Notre Dame, Indiana
University of Pennsylvania, Philadelphia, Pennsylvania
University of Pittsburgh, Pittsburgh, Pennsylvania
University of Pittsburgh at Johnstown, Johnstown, Pennsylvania
University of Rhode Island, Kingston, Rhode Island
University of San Diego, San Diego, California
University of San Francisco, San Francisco, California
University of South Carolina, Columbia, Columbia, South Carolina
University of South Florida, Tampa, Florida
University of Southern California, Los Angeles, California
University of St. Thomas, Houston, Texas
University of Texas, Austin, Austin, Texas
University of Toledo, Toledo, Ohio
University of Utah, Salt Lake City, Utah
University of Virginia, Charlottesville, Virginia
University of Wisconsin, Eau Claire, Eau Claire, Wisconsin
University of Wisconsin, Madison, Madison, Wisconsin
University of Wisconsin, Milwaukee, Milwaukee, Wisconsin
University of Wisconsin, Whitewater, Whitewater, Wisconsin
Ursinus College, Collegeville, Pennsylvania
Utah State University, Logan, Utah
Valparaiso University, Valparaiso, Indiana
Vanderbilt University, Nashville, Tennessee
Villanova University, Villanova, Pennsylvania
Virginia Commonwealth University, Richmond, Virginia
Virginia Polytechnic and State University, Blacksburg, Virginia
Wabash College, Crawfordsville, Indiana
Wartburg College, Waverly, Iowa
Washington College, Chestertown, Maryland
Weber State University, Ogden, Utah
Wellesley College, Wellesley, Massachusetts
Wesleyan University, Middletown, Connecticut
West Chester University, West Chester, Pennsylvania
Western Illinois University, Macomb, Illinois
Western Kentucky University, Bowling Green, Kentucky
Wheelock College, Boston, Massachusetts
Willamette University, Salem, Oregon
Yale University, New Haven, Connecticut
York College of Pennsylvania, York, Pennsylvania
Your Information
*Title:
----------[Select]----------
Mr.
Ms.
Mrs.
Dr.
Admiral
Ambass. & Mrs.
Ambassador
BGEN
Bishop
Bishop and Mr.
Bishop and Mrs.
Brother
c/o
Cantor
Cantor and Mr.
Cantor and Mrs.
Capt. and Mrs.
Captain
CDR
Cdr.
Chaplain
Chaplain & Mrs.
CMSGT
Colonel
Colonel & Mrs.
Commander
Commissioner
CWO4
Deacon
Dr. and Dr.
Dr. and Mr.
Dr. and Ms.
Dr. and Rev.
Drs.
Elder
Estate of
Father
General
H.R.H
Judge
Lieutenant
Lt. Colonel
Lt. Commander
Major
Messr.
Miss
Monsignor
Mother
Mr. and Mrs.
Mr. and Ms.
MSG.
Mss.
Prof. and Mr.
Prof. and Mrs.
Prof. and Ms.
Professor
Rabbi
Rabbi and Mr.
Rabbi and Mrs.
Representative
Rev. and Mr.
Rev. and Mrs.
Rev. Dr.
Rev. Dr. & Mrs.
Rt. Rev
Rt. Rev. & Mr.
Rt. Rev. & Mrs.
Segeant
Senator
Senator & Mrs.
Sister
Sr.
The
The Hon. & Mr.
The Hon. & Mrs.
The Honorable
The Rev. Deacon
The Rev. Doctor
The Reverend
*First Name:
*Last Name:
Suffix:
*Date Of Birth:
[MM]
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[DD]
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
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28
29
30
31
[YYYY]
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
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1984
1983
1982
1981
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1963
1962
1961
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1958
1957
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1955
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1939
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1937
1936
1935
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
What country you were born in?:
----------[Select]----------
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bolivia
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Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Estonia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy see (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Lithuiania
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Macau
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
SuriName
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States minor outlying islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
*Gender:
Male
Female
*Phone:
If you do not have a home phone number please check the box.
Show phone number to chapter members?
Yes
No
*Cell Phone:
If you do not have a cell phone number please check the box.
Show cell phone number to chapter members?
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No
*Email:
If you do not have an email please check the box.
Current/Campus Address
*Street Address:
Address Line 2:
(for apt #, dorm hall, etc.)
*City:
*State:
*State Outside US:
----------[Select]----------
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Dakota
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside US
*Zip Code:
*Country:
----------[Select]----------
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Estonia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy see (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Lithuiania
Luxembourg
Macau
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
SuriName
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States minor outlying islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Permanent Address
Click here if Permanent Address is same as Current/Campus Address.
*Street Address:
Address Line 2:
(for apt #, dorm hall, etc.)
*City:
*State:
*State Outside US:
----------[Select]----------
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Dakota
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside US
*Zip Code:
*Country:
----------[Select]----------
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Estonia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy see (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Lithuiania
Luxembourg
Macau
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
SuriName
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States minor outlying islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
*Are you a person with intellectual or developmental disabilities?
Yes
No
*Are you currently a student?
Yes
No
*Prior to this year, how many years have you been in BB?
--[Select]--
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
*Do you give permission to be filmed or photographed at any Best Buddies activity and understand that any photograph or videotape may be used at the discretion of Best Buddies for publicity purposes?
Yes
No
*Have you ever been fired or asked to resign from a paid or volunteer position because of sexual harassment or physical violence?
Yes
No
*Are you an insured driver?
Yes
No