Northeast Central Services, Inc.

4853 S Sheridan Rd, Suite 600, Tulsa, OK 74145

Central Service Volunteer Form

Use this form to become a volunteer at Central Service.
* - required fields

  1. Name is required.
  2. City is required.
  1. Male: Female: Please specify Male or Female.
Contact Information

  1. Please provide a valid email address.
  2. Send me emails about news & events
Home Group
  1. Please specify your home group.
  2. Please specify your home group city.
  1. Please provide sobriety date. Please specify date as mm/dd/yyyy.

Please fill in the questions below indicating the kinds of service you can provide. All information is confidential. It will, however, be given to any member of AA who handles Call Forwarding so the information can be used to help them with 12-Step calls.

12 Step Calls
* Will do 12th Step Work:
 Yes  No Please check yes or no.
Check all that apply:
Can take a 12 step call daytime (9:00 a.m. - 6:00 p.m.)
Can take a 12 step call at night (6:00 p.m. - 9:00 a.m.)
Will go see a wet drunk
Will phone a wet drunk
Notes: (e.g. weekend only)
Call Forwarding (Requires two years sobriety)
* Will take phones overnight or on weekends?
 Yes  No Please check yes or no.
Notes: (e.g. Tuesdays only)
Speaker Meetings
* Will speak at speaker meetings?
 Yes  No Please check yes or no.
Notes: (e.g. only noon meetings)
Volunteer At The Office
* Volunteer at the office during office hours?
 Yes  No Please check yes or no.
Notes: (e.g. computer skills)
Be A.A. Contact
* Be AA contact for someone moving to the area?
 Yes  No Please check yes or no.
Agreement Please check here to agree with the statements below. * By checking this box, I agree to the following statements:

I will not discuss any information regarding the personnel, the office, or the policy and procedures with anyone other than the paid employees or the Board of Trustees of Northeast Central Services Inc.

When answering the Northeast Central Service telephone Hotline, I will honor the anonymity of callers, not discussing who called or what was said with anyone. Further, when answering the Hotline, I will not discuss any personnel or policies regarding Northeast Central Services Inc. I understand that as a volunteer on the Hotline my purpose is solely to help callers find an A.A. meeting and/or to contact a person from our twelve step list to call them back.