12th Step Call Volunteer

Sign-up to be a 12th Step Call Volunteer by completing the online registration below or print the 12th Step Call Volunteer form and fax it to the NDIAA office: 302-655-8342 or mail to: NDIAA Office, 21B Trolley Square, Wilmington, DE 19806 or email to: mainoffice@ndiaa.org

12th Step Call Online Registration

Do you enjoy 12th step work? Do you have one(1) year of sobriety?

All Information is Confidential

Sobriety date(mm/yy):*
Do you have a sponsor?(y/n)*
Contacted for 12th Step?(y/n)*
Name:*
Address:
County:
E-mail:
Phone:*
-
Age:*
Sex(m/f):*

List Days and Times Available:

Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:

Mark(x) if applies:

Day only:
Weekend only:
Evening only:
Comments:

Office staff will contact you PRIOR to you being scheduled. Thank you for your help.