12 Step Volunteer Contact Info

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If you would like to be on the 12 Step Volunteer List please fill out this form completely.

The online version of this list is available only to the volunteers. We change the password needed to access this list on a weekly basis.

Name (First and Last) *

Gender *

Male

Female

Gender Non Confirming

Sobriety Date
*You must have at least 1 year or more of sobriety* *

YYYY

Phone number
*

Email (Optional)

Town *

Home Group (Optional)

Availability *

A - Anytime

D - Mornings & Afternoons

E - Evening & Nights

W - Weekends

Required

We’re building our 12-Step Volunteer List and would love to know how you’re willing to be of service.

Please check all that apply:

Return a phone call to share your experience, strength, and hope.

Arrange to meet someone at an AA meeting.

Pick someone up and bring them to a meeting—with another AA member.

Required

Comments (Optional)

Submit

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