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Best Buddies College Membership Application for Program Year 2013-2014
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: 4/25/2014
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: 
select
select

 
 
Your Information
 
Title:
*First Name:
*Last Name:
Suffix:
*Date Of Birth:
What country you were born in?:
*Gender:
T-shirt size:
*Phone:
If you do not have a home phone number please check the box.
Show phone number to chapter members?
*Cell Phone:
If you do not have a cell phone number please check the box.
Show cell phone number to chapter members?
*Email:
If you do not have an email please check the box.
 
Current Address
 
*Street Address:
Address Line 2:  (for apt #, dorm hall, etc.)
*City:
*State:
*Zip Code:
*Country:
 
Permanent Address
 
*Street Address:
Address Line 2:  (for apt #, dorm hall, etc.)
*City:
*State:
*Zip Code:
*Country:
*Are you a person with intellectual or developmental disabilities?
*Are you currently a student?
*Prior to this year, how many years have you been in BB?
*Have you ever been fired or asked to resign from a paid or volunteer position because of sexual harassment or physical violence?
*Are you an insured driver?