District 21 Service Work Survey – Alcoholics Anonymous

“Service doesn’t have to be big and grandiose to me meaningful and make a difference.”

Fill out the following form to see what service work is right for you!

Name

First

Last

Phone

When is your sobriety birthday?

What inspired your interest in doing service work?

Have you done service work in AA before?

Yes
No
Prefer Not to Say

Is there a particular area of District you would like to be a part of?

Are there any particular thing or things you are interested in doing (i.e. distributing schedules, setting up for events, taking a meeting to a hospital or jail)?

How much time would you like to spend doing service work per month?

you events, or

Do you have availability throughout the month where you can attend meetings, events and workshops for your position or do you need flexibility so that you can do the work on your own time when you are able?

Yes
No
It will depend on my schedule

Would you prefer to attend things in-person, on Zoom or would like them to be hybrid so you have the option of either depending on your availability?

Are you planning on or willing to attend the District Meetings (which take place every 3rd Tuesday of the month 7-8:30pm in Albany or on Zoom)?

Additional comments or suggestions