Area Delegate Form

Area Delegate Form

To ensure that the World Service Office (WSO), World Service Conference (WSC) Committee and the General Delegate Assembly (GDA) has accurate contact records, please provide this information on a confidential basis. Except for your name and first initial, this information will only be used for S-Anon committee purposes and will never be disclosed to outside parties.
It is recommended that all registered groups in the Area be given the opportunity to have a voice in the selection of the Area Delegate (AD) and AAD (Alternate Area Delegate). Once the Area elects or affirms a volunteer AD or AAD, the AD or AAD registers with the WSO and are put in contact with the GDA. Please contact the WSO at sanon@sanon.org to receive a list of Area groups to begin the selection/election process.

To participate in the annual WSC with a voice and a vote, an AD needs to be registered with the WSO by May 1st.

Please read the S-Anon/S-Ateen Service Manual: Areas and Area Delegates to the WSC or Serving as an S-Anon Area Delegate for more information.
Area of Representation*
Please list the Area that you have been selected/elected to serve.
Role*

Primary DelegateAlternate Delegate
If Alternate Delegate, please list current Primary Delegate
The role of Alternate Delegate cannot be filled without a currently serving Primary Delegate. If you are unsure of the current AD, please contact the WSO.
Date of Election/Selection by Area Groups*

MonthDayYear
The Area Delegate (AD) is elected or selected by any means the group or groups in the Area decide.
Name*

First NameLast Initial
Email
Email: The Area Delegate Welcome Committee will reach out through this email to setup access to Area Delegate account and welcome information.
Phone Number
Please enter a valid phone number.
Personal S-Anon Information

Home GroupYear Joined S-Anon
Sponsor Information. Select all that apply.

I have a SponsorI have a Service Sponsor
Do you have time to devote to this position?

YesNot Sure
Skills that might be useful to S-Anon
Please list all skills that may apply
Service Positions in Local S-Anon Groups
Include approximate timeframe
Service Positions Beyond Local S-Anon Groups
Include approximate timeframe
Service Positions at Local or National S-Anon Events
Service Positions in the N. American S-Anon Service Structure
Include approximate timeframe
Additional Information to Share, if you wish
By submitting this form, you are confirming that you have contacted all groups in your proposed Area and attempted a selection/election process.

Once the form is submitted, a representative from the Area Delegate Welcome Committee will reach out with steps to access your AD Office 365 account, information on next steps in your AD role and joing the monhtly GDA meeting.

For technology assistance in accessing, using or troubleshooting your Area Delegate Office 365 account, please contact the Technology Support Team; technology@sanon.org
Should be Empty: