Institutions Speaker Sign-up Form - Baltimore Intergroup Council of Alcoholics Anonymous

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Institutions Speaker Sign-up Form2024-08-20T14:08:11-04:00

Your Name *

Your Email *

Your Phone number *

Are you volunteering as a Homegroup or Individually *

Nights Available

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Are you willing to attend Men's or Women's meetings? *

Women's

Men's

Both

Speak in person? *

Yes

No

Speak on Zoom? *

Yes

No

Homegroup Name (if filling for a group) *

Are you willing to attend Women’s/Men’s/Unisex meetings? *

Women's

Men's

Unisex

Homegroup Day/Night

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Speak in person? *

Yes

No

Speak on Zoom? *

Yes

No

I would like to be a Speaker.

I would like to be a Sponsor.

Willing to submit for a background check if required by a jail or institution

Willing to complete the required 1-day orientation for new correctional facilities speakers.

Thank you for your message. It has been sent.

There was an error trying to send your message. Please make sure that you have checked the box below that says "I am not a robot."

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RESPONSIBILITY STATEMENT

I am responsible. When anyone, anywhere, reaches out for help, I want the hand of AA always to be there. And for that: I am responsible.

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Baltimore Intergroup Council of Alcoholics Anonymous, Inc.3655 B Old Court Rd, Suite 23Pikesville, MD 21208
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