Bridging the Gap Volunteer Application Form

Sponsored by the Treatment & Accessibilities Committee

Are you an AA member who is willing to be available for approximately a 2 week commitment to someone being released from a treatment facility?
If yes, then fill out and submit the following form.

    Bridging the Gap Volunteer Application Form
    1. * An asterisk indicates a required field

    2. Name

    3. Email

    4. Phone Numbers

    7. What is your gender?

    8. Street Address

    9. Home Group

    10. Sober Date

    11. What districts in the Edmonton AA area can you support

    12. Do you drive and are you willing to take person to meetings?YesNo

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