Pacific Cascades Regional Service Pool
The PR Committee of PCRNA is assembling a database of members who are willing to be of service. The service commitments are task based and vary in length. They could include, presenting at a learning days, speaking, helping set up and tear down at a regional event, providing billeting to a regional service member, serving on a regional task group, sitting at booths, serving on a panel........

We would ask that you please fill out the following form, which will be forwarded along to the PCRNA PR Subcommittee. By doing so, It is our hope that we can provide more effective services to our Areas, strengthen the ties that bind us together, and promote unity in our Region.

Our thanks and gratitude go out in advance for your service.

First Name *
Your answer
Last Name (or initial) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
What Area are you from? *
Please use the drop down menu to find your Area
What is your clean date? *
Please use this format (MM/DD/YYYY)
Your answer
Please list all the NA Service positions that you have held. *
Your answer
What personal resources do you possess that would be helpful?
Your answer
Please check appropriate box if you have: *
Required
What life experiences (i.e., school, work, volunteer, etc. ) have you had that you believe will help you serve?
Your answer
Please include any other information you consider relevant.
Your answer
What type of service are you interested in? *
Your answer
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