Bridging the Gap Volunteer Sign-up Sheet

for members willing to be temporary contacts

Bridging the Gap is the hand of Alcoholics Anonymous reaching out to those in need of help. This is basic 12-Step Work. When newcomers leave institutes - typically correctional facilities or treatment facilities - the Bridging the Gap program can have a temporary contact available in their home town. This temporary contact introduces the newcomer to life in recovery outside of institutes. He or she takes the newcomer to meetings, introduces them to others in recovery, and in general helps the newcomer to start their life of recovery in the real world.

If you are willing to be a temporary contact fill out this form. Please include at least one phone number. It is suggested you have at least one year of sobriety.

 

 
         
 First Name: *   Work Phone:
 Last Name:  

Work Extention:
Gender: *   Home Phone:
 Address:   Cell Phone:
 City: *   Fax Number:
 State: *   District: *
 Zip: *   Sobriety Date: yyyy/mm/dd *
 E-mail: *   Language: *
 Type: *      

 * indicates a required field