" 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

Call Forward 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
Answer Hotline one evening a week in your home 4PM-11AM
       (one year minimum sobriety required)