Chicago Area 12-Step List

This form is also available to mail/fax: 12 Step Worker Form (pdf)

When a person who is new to AA contacts the Chicago Area Service Office and wants help, we always offer them the opportunity to have a member of AA contact them directly and help them get to their first meeting. We have a list of members willing to make12-Step calls who we call, based on location, to contact this person. If you would like to be on this list, please fill in the information below. The minimum sobriety requirement is one year. We always match the person asking for a 12-Step call with someone of the same gender so be sure to specify if you are male or female.

We must have last name, gender and zip code or we will not be able to add you to the list.

Sobriety Date
Name
Address
City
Zip
Male/Female	FemaleMale

Please only list phone numbers that you wish to be contacted at for 12-Step calls. We do not leave messages so the more phone numbers you provide, the greater your chances of being contacted.

Home Phone
Work Phone
Mobile Phone
Email*
Email required to submit electronically

This form is also available to mail/fax: 12 Step Worker Form (pdf)

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Contact: Group Services or the Webmaster