How To Get Involved

A willingness to help another human being suffering from our disease is the most essential requirement. It is also suggested you have a year of continuous sobriety.After conferring with your sponsor, fill out the “12-Step” form below

More information is available in the 12th Step Brochure on the Resources page.

Local AA members who volunteer for service on the 12th step list are organized geographically.

Today's Date *

New Volunteer *

• Yes
• No

Change of Information? *

• Yes
• No

Name *

First

Last

Your Sobriety Date *

Your Home Group *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

Gender? *

• Female
• Male

Used only to keep responders/requestors gender appropriate

Daytime Phone *

Evening Phone (If different from Daytime Phone)

Do you speak any foreign language(s)

if so please list

Do you know Sign Language?

• Yes
• No

Website

Submit