12th Step Service Committee Chair Application - New York Inter-Group

12th Step Service Committee Chairperson Application

Application for Steering Committee position

Date*
MM
DD
YYYY
Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Home Group*
Sobriety Date*
MM
DD
YYYY
I believe I am an appropriate candidate because of the following
Home Group service experience*
New York Inter-Group experience*
Other A.A. General Service experience*
Additional Qualifications*
12th Step Service Committee Chairperson Qualifications