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F R E E   M E M B E R S H I P   A P P L I C A T I O N   The posting of your profile and photos plus the use of all features and services provided by SpiritSupportGroup.org is free of charge.   Answers are REQUIRED for these items:   My First Name or Nickname is: My "Headline" is: (Describe yourself in a few words... for example: ("Shoulder to lean on") My Gender: select ... male female I Am Seeking select ... a male a female both male & female for select ... not selected a friend a date a casual relationship a long-term relationship marriage marriage and children an activities partner a travel companion an email/pen pal a support group someone to talk to a shoulder to lean on and also for (optional) select ... none not selected a friend a date a casual relationship a long-term relationship marriage marriage and children an activities partner a travel companion an email/pen pal a support group someone to talk to a shoulder to lean on Desired Age Range: from select ... 18 20 25 30 35 40 45 50 55 60     to select ... 20 25 30 35 40 45 50 55 60 65+       My Ethnic Group: select ... Asian Black Caucasian Hispanic Multi-Ethnic Other No Response My Religion: select ... Agnostic Apostolic Churches Assembly of God Atheist Baha'i Baptist Buddhist Christian Christian Church Christian (other denomination) Church of Christ Church of Religious Science Episcopalian Evangelical Full Gospel Greek Orthodox Hinduism Interdenominational Islamic Judaism Lutheran Messianic Jewish Methodist Muslim Native American Open Bible Other Catholic Other Pagan Pentecostal Presbyterian Protestant Roman Catholic Russian Orthodox Seventh Day Adventist Taoism Unitarian Unity Wiccan No Response My Education: select ... Life Schooling High School Trade School Attending College College (2 year) Alternative Schooling Bachelor's Degree Now in Graduate School Master's Degree Doctorate MD DDS/DMD DVM JD No Response My Current Relationship Status is select ... single separated divorced a widow/widower married attached     Do I Have Pets? select ... I have no pets I have one pet I have more than one pet I have a cat(s) I have a dog(s) I do not want pets   Do I Have Children? select ... I have no children I have grown children I have children living with me I have children, but not living with me I have children, sometimes living with me I have children, on weekends I have children, who live far away   Do I Want Children? select ... I want children I would like to adopt I would welcome my partner's children I do not want children I do not want additional children I am undecided about wanting children   My City: My Area Code (US and Canada only): (This will help someone who lives near you to find you.) My State or Province: select ... Not Applicable 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon   My Zip Code (US only): (This will help someone who lives near you to find you.) My Country: select ... United States Canada United Kingdom Albania Algeria Andorra Angola Anguilla Antarctica Antigua Antilles Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Island Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guiana Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kyrgyzstan Lao Latvia Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshal Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Guinea New Zealand Nicaragua Nigeria Niue Norfolk Islands Norway Palau Panama Paraguay Peru Puerto Rico Philippines Poland Polynesia Portugal Romania Russia Rwanda Saint Lucia Samoa San Marino Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka St. Helena Sudan Suriname Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad Tunisia Turkey Uganda Ukraine Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands Yugoslavia Zaire Zambia Zimbabwe       HABITS     My Smoking Preference select ... I do not smoke I smoke clove cigarettes I smoke cigars I smoke a pipe I chew tobacco I smoke occasionally I smoke frequently I am trying to stop smoking I smoke cigarettes My Drinking Preference select ... I do not drink alcohol I drink occasionally I drink socially I drink BEER only I drink WINE only Whose Condition: select ... Me My Son My Daughter My Father My Mother My Brother My Sister My Husband My Wife My Grandfather My Grandmother My Grandchild My Friend My Family Member Answers are optional for cancer, physical, and mental conditions     Cancers include not applicable Adrenal Cortical Cancer Advanced Cancer Anal Cancer Bile Duct Cancer Bladder Cancer Bone Cancer Brain Cancer Breast Cancer Cancer Cervical Cancer Colon and Rectum Cancer Endometrial Cancer Esophagus Cancer Eye Cancer (Rhabdomyosarcoma) Kidney Cancer Leukimia Liver Cancer Lung Cancer Male Breast Cancer Melanoma Metastatic Disease Nasopharyngeal Cancer Oral Cavity Cancer Other Cancer Ovarian Cancer Pancreatic Cancer Prostate Cancer Salivary Gland Cancer Sarcoma Cancer Skin Cancer Stomach Cancer Testicular Cancer Testicular Cancer Thymus Cancer Thyroid Cancer Tongue Cancer Vaginal Cancer Vulvar Cancer which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Adrenal Cortical Cancer Advanced Cancer Anal Cancer Bile Duct Cancer Bladder Cancer Bone Cancer Brain Cancer Breast Cancer Cancer Cervical Cancer Colon and Rectum Cancer Endometrial Cancer Esophagus Cancer Eye Cancer (Rhabdomyosarcoma) Kidney Cancer Leukimia Liver Cancer Lung Cancer Male Breast Cancer Melanoma Metastatic Disease Nasopharyngeal Cancer Oral Cavity Cancer Other Cancer Ovarian Cancer Pancreatic Cancer Prostate Cancer Salivary Gland Cancer Sarcoma Cancer Skin Cancer Stomach Cancer Testicular Cancer Testicular Cancer Thymus Cancer Thyroid Cancer Tongue Cancer Vaginal Cancer Vulvar Cancer which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Adrenal Cortical Cancer Advanced Cancer Anal Cancer Bile Duct Cancer Bladder Cancer Bone Cancer Brain Cancer Breast Cancer Cancer Cervical Cancer Colon and Rectum Cancer Endometrial Cancer Esophagus Cancer Eye Cancer (Rhabdomyosarcoma) Kidney Cancer Leukimia Liver Cancer Lung Cancer Male Breast Cancer Melanoma Metastatic Disease Nasopharyngeal Cancer Oral Cavity Cancer Other Cancer Ovarian Cancer Pancreatic Cancer Prostate Cancer Salivary Gland Cancer Sarcoma Cancer Skin Cancer Stomach Cancer Testicular Cancer Testicular Cancer Thymus Cancer Thyroid Cancer Tongue Cancer Vaginal Cancer Vulvar Cancer which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure     Physical Conditions include not applicable Accident Alcohol Addiction Allergies Alzheimer's Disease Asthma Autism Back Pain Bladder Condition Blindness Bone Condition Celiac Disease Cerebral Palsy Chronic Fatigue Syndrome Chronic Pain Colon Condition Crohn's Disease Cystic Fibrosis Deafness Diabetes Down's Syndrome Drug Addiction Epilepsy Fibromyalgia Heart Disease Hepatitis Herpes HIV/AIDS Hurricane Katrina Injuries Immune System Condition Infertility Kidney Condition Kidney Stones Liver Condition Lupus Lyme Disease Malaria Male Erectile Disorder Meningitis Migraines Multiple Sclerosis Muscular Dystrophy Obesity Other Parkinson's Disease Poly Cystic Ovarian Syndrone Pregnancy Psychoneurosis Reflexive Sympathetic Dystrophy/Chronic Regional Pain Syndrome Renal Insufficiency Sarcoidosis Scleroderma Shingles Spinal Cord Injury Spinal Muscular Atrophy STD's Stomach Condition Stroke Thyroid Disease Tourette's Syndrome Transplants Tuberculosis Tumors Ulcerative Colitis Williams Syndrome which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Accident Alcohol Addiction Allergies Alzheimer's Disease Asthma Autism Back Pain Bladder Condition Blindness Bone Condition Celiac Disease Cerebral Palsy Chronic Fatigue Syndrome Chronic Pain Colon Condition Crohn's Disease Cystic Fibrosis Deafness Diabetes Down's Syndrome Drug Addiction Epilepsy Fibromyalgia Heart Disease Hepatitis Herpes HIV/AIDS Hurricane Katrina Injuries Immune System Condition Infertility Kidney Condition Kidney Stones Liver Condition Lupus Lyme Disease Malaria Male Erectile Disorder Meningitis Migraines Multiple Sclerosis Muscular Dystrophy Obesity Other Parkinson's Disease Poly Cystic Ovarian Syndrone Pregnancy Psychoneurosis Reflexive Sympathetic Dystrophy/Chronic Regional Pain Syndrome Renal Insufficiency Sarcoidosis Scleroderma Shingles Spinal Cord Injury Spinal Muscular Atrophy STD's Stomach Condition Stroke Thyroid Disease Tourette's Syndrome Transplants Tuberculosis Tumors Ulcerative Colitis Williams Syndrome which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Accident Alcohol Addiction Allergies Alzheimer's Disease Asthma Autism Back Pain Bladder Condition Blindness Bone Condition Celiac Disease Cerebral Palsy Chronic Fatigue Syndrome Chronic Pain Colon Condition Crohn's Disease Cystic Fibrosis Deafness Diabetes Down's Syndrome Drug Addiction Epilepsy Fibromyalgia Heart Disease Hepatitis Herpes HIV/AIDS Hurricane Katrina Injuries Immune System Condition Infertility Kidney Condition Kidney Stones Liver Condition Lupus Lyme Disease Malaria Male Erectile Disorder Meningitis Migraines Multiple Sclerosis Muscular Dystrophy Obesity Other Parkinson's Disease Poly Cystic Ovarian Syndrone Pregnancy Psychoneurosis Reflexive Sympathetic Dystrophy/Chronic Regional Pain Syndrome Renal Insufficiency Sarcoidosis Scleroderma Shingles Spinal Cord Injury Spinal Muscular Atrophy STD's Stomach Condition Stroke Thyroid Disease Tourette's Syndrome Transplants Tuberculosis Tumors Ulcerative Colitis Williams Syndrome which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure     Mental Conditions include not applicable Acute Stress Disorder Adjustment Disorders Agoraphobia Alcohol Addiction Alcohol Addiction Alzheimer's Disease Amnestic Disorder Anorexia Nervosa Antisocial Personality Disorder Anxiety Disorder Asperger's Syndrome Attention Deficit Disorder Attention Deficit/Hyperactivity Disorder Autistic Disorder Avoidant Personality Disorder Bereavement Binge Eating Bipolar Disorder Body Dysmorphic Disorder Borderline Personality Disorder Breathing-Related Sleep Disorder Brief Psychotic Disorder Bulimia Nervosa Cannabis Addiction Circadian Rhythm Sleep Disorder Cognitive Disorder Conduct Disorder Conversion Disorder Cyclothymia (Cyclothymic Disorder) Delusional Disorder Dementia Dependent Personality Disorder Depersonalization Disorder Depression Disorder of Written Expression Disruptive Behavior Disorder Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Down's Syndrome Drug Addiction Dyspareunia Dysthymic Disorder Encopresis Enuresis (Bedwetting) Expressive Language Disorder Folie a Deux Gender Identity Disorder General Adaptation Syndrome Generalized Anxiety Disorder Histrionic Personality Disorder Huntington's Disease Hurricane Katrina Thoughts Hyperactivity Disorder Hyperkinetic Syndrome Hypersomnia Hypochondriasis Hysteria Impulse-Control Disorder Insomnia Intermittent Explosive Disorder Joubert Syndrome Kleptomania Learning Disorders Male Erectile Disorder Malingering Mania Mathematics Disorder Mental Retardation Multiple Personality Disorder Munchausen Syndrome Narcissistic Personality Disorder Narcolepsy Nightmare Disorder Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Oposition Defant Disorder Oppositional Defiant Disorder Other Pain Disorder Panic Attacks Panic Disorder Paranoid Personality Disorder Paraphilias Parasomnia Parkinson's Disease Pathological Gambling Personality Disorder Pervasive Developmental Disorder Pica Post Partum Depression Post-Traumatic Stress Disorder Premature Ejaculation Primary Insomnia Psychopathic Personalities Psychotic Disorder Pyromania Reading Disorder Rett's Disorder Rumination Disorder Schizoaffective Disorder Schizoid Personality Disorder Schizophrenia Schizophreniform Disorder Schizotypal Personality Disorder Seasonal Affective Disorder Selective Mutism Separation Anxiety Disorder Shared Psychotic Disorder Sleep Disorder Sleep Terror Disorder Sleepwalking Disorder Social Phobia Somatization Disorder Specific Phobias Stereotypic Movement Disorder Stuttering Suicide Attempt Tourette's Syndrome Transient Tic Disorder Trichotillomania Undifferentiated Somatoform Disorder Vaginismus which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Acute Stress Disorder Adjustment Disorders Agoraphobia Alcohol Addiction Alcohol Addiction Alzheimer's Disease Amnestic Disorder Anorexia Nervosa Antisocial Personality Disorder Anxiety Disorder Asperger's Syndrome Attention Deficit Disorder Attention Deficit/Hyperactivity Disorder Autistic Disorder Avoidant Personality Disorder Bereavement Binge Eating Bipolar Disorder Body Dysmorphic Disorder Borderline Personality Disorder Breathing-Related Sleep Disorder Brief Psychotic Disorder Bulimia Nervosa Cannabis Addiction Circadian Rhythm Sleep Disorder Cognitive Disorder Conduct Disorder Conversion Disorder Cyclothymia (Cyclothymic Disorder) Delusional Disorder Dementia Dependent Personality Disorder Depersonalization Disorder Depression Disorder of Written Expression Disruptive Behavior Disorder Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Down's Syndrome Drug Addiction Dyspareunia Dysthymic Disorder Encopresis Enuresis (Bedwetting) Expressive Language Disorder Folie a Deux Gender Identity Disorder General Adaptation Syndrome Generalized Anxiety Disorder Histrionic Personality Disorder Huntington's Disease Hurricane Katrina Thoughts Hyperactivity Disorder Hyperkinetic Syndrome Hypersomnia Hypochondriasis Hysteria Impulse-Control Disorder Insomnia Intermittent Explosive Disorder Joubert Syndrome Kleptomania Learning Disorders Male Erectile Disorder Malingering Mania Mathematics Disorder Mental Retardation Multiple Personality Disorder Munchausen Syndrome Narcissistic Personality Disorder Narcolepsy Nightmare Disorder Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Oposition Defant Disorder Oppositional Defiant Disorder Other Pain Disorder Panic Attacks Panic Disorder Paranoid Personality Disorder Paraphilias Parasomnia Parkinson's Disease Pathological Gambling Personality Disorder Pervasive Developmental Disorder Pica Post Partum Depression Post-Traumatic Stress Disorder Premature Ejaculation Primary Insomnia Psychopathic Personalities Psychotic Disorder Pyromania Reading Disorder Rett's Disorder Rumination Disorder Schizoaffective Disorder Schizoid Personality Disorder Schizophrenia Schizophreniform Disorder Schizotypal Personality Disorder Seasonal Affective Disorder Selective Mutism Separation Anxiety Disorder Shared Psychotic Disorder Sleep Disorder Sleep Terror Disorder Sleepwalking Disorder Social Phobia Somatization Disorder Specific Phobias Stereotypic Movement Disorder Stuttering Suicide Attempt Tourette's Syndrome Transient Tic Disorder Trichotillomania Undifferentiated Somatoform Disorder Vaginismus which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure and not applicable Acute Stress Disorder Adjustment Disorders Agoraphobia Alcohol Addiction Alcohol Addiction Alzheimer's Disease Amnestic Disorder Anorexia Nervosa Antisocial Personality Disorder Anxiety Disorder Asperger's Syndrome Attention Deficit Disorder Attention Deficit/Hyperactivity Disorder Autistic Disorder Avoidant Personality Disorder Bereavement Binge Eating Bipolar Disorder Body Dysmorphic Disorder Borderline Personality Disorder Breathing-Related Sleep Disorder Brief Psychotic Disorder Bulimia Nervosa Cannabis Addiction Circadian Rhythm Sleep Disorder Cognitive Disorder Conduct Disorder Conversion Disorder Cyclothymia (Cyclothymic Disorder) Delusional Disorder Dementia Dependent Personality Disorder Depersonalization Disorder Depression Disorder of Written Expression Disruptive Behavior Disorder Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Down's Syndrome Drug Addiction Dyspareunia Dysthymic Disorder Encopresis Enuresis (Bedwetting) Expressive Language Disorder Folie a Deux Gender Identity Disorder General Adaptation Syndrome Generalized Anxiety Disorder Histrionic Personality Disorder Huntington's Disease Hurricane Katrina Thoughts Hyperactivity Disorder Hyperkinetic Syndrome Hypersomnia Hypochondriasis Hysteria Impulse-Control Disorder Insomnia Intermittent Explosive Disorder Joubert Syndrome Kleptomania Learning Disorders Male Erectile Disorder Malingering Mania Mathematics Disorder Mental Retardation Multiple Personality Disorder Munchausen Syndrome Narcissistic Personality Disorder Narcolepsy Nightmare Disorder Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Oposition Defant Disorder Oppositional Defiant Disorder Other Pain Disorder Panic Attacks Panic Disorder Paranoid Personality Disorder Paraphilias Parasomnia Parkinson's Disease Pathological Gambling Personality Disorder Pervasive Developmental Disorder Pica Post Partum Depression Post-Traumatic Stress Disorder Premature Ejaculation Primary Insomnia Psychopathic Personalities Psychotic Disorder Pyromania Reading Disorder Rett's Disorder Rumination Disorder Schizoaffective Disorder Schizoid Personality Disorder Schizophrenia Schizophreniform Disorder Schizotypal Personality Disorder Seasonal Affective Disorder Selective Mutism Separation Anxiety Disorder Shared Psychotic Disorder Sleep Disorder Sleep Terror Disorder Sleepwalking Disorder Social Phobia Somatization Disorder Specific Phobias Stereotypic Movement Disorder Stuttering Suicide Attempt Tourette's Syndrome Transient Tic Disorder Trichotillomania Undifferentiated Somatoform Disorder Vaginismus which is now not applicable Gone In Remission Being Treated In Its Final Stages Only God Knows Not Being Treated Not Treatable Not Being Treated By Choice Not Sure     Please Note: The following items are not permitted in any essay: Phone Numbers, Addresses, E-mail Addresses, URL's, ICQ Numbers, AOL Instant Messenger Handles, or any other means by which a member could contact you directly. Profanity or derogatory items are not permitted. These items are screened for by our system and if found will result in your profile being modified/removed from the system. My Life's Work or Occupation includes: (20 words or less, please)
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