12 Step Volunteer Form

We understand people sometimes miss calls. However, it is extremely important that 12 Step volunteers return calls. A 12 Step call may come at any time, so the phone number you list here should be able to reliably receive calls and allow you to respond quickly.

Name *

First

Last

Email *

Email

Confirm Email

Phone Number *

Your groups Men:

Sobriety Date *

1 year sobriety is required

Your Home group *

Men: Areas You or Group Will Cover by Zip Code, Part of Town, City, etc. Only groups may choose multiple genders.

EX: 45238, Price Hill, Cloverdale, 45205

Women: Areas You or Group Will Cover by Zip Code, Part of Town, City, etc. Only groups may choose multiple genders.

EX: 45238, Price Hill, Cloverdale, 45205

Notes

Submit