Name *

First Name

Last Name

Phone *

(###)

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Date of Birth

MM

DD

YYYY

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

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The following section will help you determine what activities you might like to participate in. Please check the area(s) that interest you. *

Answering telephones at the office and giving out general information to callers.

Assisting with sharing our mission with churches and other organizations in the form of Speaking with small groups of people who want to know what we have to offer.

Entering information into a Word or Google document.

Using your vehicle to transport client to detox or rehabilitation facility (with gas reimbursement, and accompanied by another volunteer).

Sharing stories of addiction and how it has touched your life or the lives of friends or family members, at meetings or with individuals who are reaching out to us for help.

Taking forwarded phone calls after hours or on weekends for emergency situations.

If you are in recovery, becoming a Certified Peer Advocate (formal training is required).

Assisting with fundraising events.