Areas of Interest


Please indicate areas of interest
(You may check as many as you like)

Events


Event Day Volunteer


Event Planning (part of a group)


Distributing Educational or Promotional Flyers


Event Coordinator


Volunteer for Recovery Rally


Other, please indicate:

Advocacy Issues


Preparing Educational Material for the Community


Talking to the General Public About Abuse and Addiction as a Health Issue (Training provided)


Phone Tree


Personal Visits to Legislators (To put a face to recovery)


Speaking at Public Hearings


Other, please indicate:

Name:
*
Address:
 
City:
State:
ZIP:
Phone:
*
work

day
Email:
*