Buddy Up Program
The Buddy Up program strives to create friendships between young adults with and without disabilities and is part of the EDCJCC Inclusion and Disabilities programming in partnership with EntryPointDC. Please complete this form if you are interested in being paired with a buddy.
There are two options, the first is being paired with a drop-in buddy. You will be paired with a buddy who has signed up to attend our social programs such as cooking, bowling and game night. The other option is to be paired with a year-long buddy, which will focus on building one on one relationships within a larger peer group and you and your buddy will be required to attend a certain number of social programs and correspond with each other on a regular basis. Social programs are held 2-3 times per month.
These programs are part of the Inclusion Programs at the EDCJCC: Programming for Individuals with All Abilities. For information and details regarding accessibility and accommodations, or to learn more, please contact Stacey Herman at
Thank you for taking the time to complete this form.
First and Last Name
Please provide your age range (if you choose)
Your Phone Number
Do you have any dietary restrictions?
Do you have any allergies? Please List
First and Last Name for Emergency Contact Information
Phone Number of Emergency Contact
Email of Emergency Contact
If applies, please explain any sensory sensitivities that we should be aware of.
If applies, please explain any social anxiety that we should be aware of.
When attending programs with the EDCJCC are you allowed to leave the EDCJCC on your own.
Yes, I can leave the EDCJCC on my own if needed
No, I must stay at the EDCJCC
If I have support/buddy with me I can leave the EDCJCC if needed
How will you be arriving/leaving the EDCJCC? (check all that apply)...
Metro (train or bus)
What do you like to do? Check all that apply
Going for Coffee
Working out/Fitness Classes
Please check all that apply
I am looking for a buddy for programs I register for through the EDCJCC
I am looking for a year long buddy
I am interested in both options
Tell me more about how having a buddy would best support you.
Are you interested in being a Vocational volunteer? Please check all interests that apply
Stuffing envelopes, labeling, mailings
Wiping down fitness center machines
Sorting (various tasks)
Are you interested in any of the below clubs for vocational training. (Check all that apply)
Sewing scarves and hats
Please list any other information that you think we would need to know.
A copy of your responses will be emailed to the address you provided.
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