" If, when you honestly want to, you find that you cannot quit entirely, or if when drinking, you have little control over the amount you take, you are probably alcoholic."

-Alcoholics Anonymous, p. 44

12 Step Call Volunteer Application

All fields are required or application will not be considered.
(Minimum of 1 year sobriety to qualify)

Today's Date
Your Name
Your Sobriety Date
Age

Gender:

Female Male

Mailing Address
City, State, Zip
Phone
Cell Phone
Email
What is your Home Group?
Languages you speak fluently?
Have you answered the Hotline before? yes
Please check the activities for which you wish to volunteer:
Will take calls during the day
Will take calls from 4PM to 11AM
Will call on a wet drunk
Will give rides to meetings