12 Step Volunteer Information Form

Volunteers are contacted by Central Office with the name and phone number of the person calling for information
or help.  Your number is NEVER given out to the caller.

Add to List   Change information   Delete form list
  
Name 
Home Phone 
Cell Phone 
Work Phone 
E-mail 
Sobriety Date     mm/dd/yy
Year of birth  
Sex    Male     Female 

I can available for calls on the following shifts:

 

9AM - 1 PM
1PM - 5 PM 
5 PM - 8PM 
8 PM - 9AM 

 

Sometimes it is necessary to go meet with the 12 step call and/or take them to a meeting. It is suggested that you do not go on a 12 step call alone. 

If necessary, which cities are you willing to visit?

Banning, CabazonIndio
Blythe, Desert CenterPalm Desert
Cathedral CityPalm Springs
Desert Hot SpringsRancho Mirage
Idyllwild, Pinyon PinesSalton Sea, Thermal
Indian Wells, La QuintaMorongo Valley, Yucca Valley, Twentynine Palms