WAI Confidential 12-Step Sign-Up Form
Submit this form to be added to the WAI 12-Step list. WAI uses the 12-Step list to help the still sick and suffering. Your anonymity is protected. THANKS FOR YOUR SERVICE! For a printable form: https://aaworcester.org/Docs/Public/12Step_Signup_Form.pdf
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First Name & Last Initial
Phone Number
Email Address
Towns you will accept 12-Step calls from:
Hours/Days you are available to help:
Gender willing to help:
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Ages I am willing to help
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Hours/Days I am available to help:
Special Skills (bilingual, sign language, etc)
I am willing to accept these types of 12-Step Calls:
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