Application Form

1
Name* This field is required.
First Name
First Inital of Last Name
2
Email* This field is required.
example@example.com
Confirm Email
3
Phone Number
4
Please select the position you are applying for
Please Select
Please Select
Secretary
Digital Officer
World Service Business Conference Delegate
Trustee - This is the wrong form (Please see the Assembly Webpage for the correct form)
5
Years in OA* This field is required.Whole Years Only
6
Number of years of service beyond the group level* This field is required.Whole Years Only
7
Date continuous abstinence began* This field is required.
Date
Day
Month
Year
8
Have you attended at least one Assembly prior to the Assembly at which you would be elected?* This field is required.
YESNO
9
Do you have at least one year of current abstinence?
YESNO
10
Do you have at least two years of service beyond the group level?
YESNO
11
Summary of my OA service responsibilities* This field is required.
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Large
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Small
Ok
Ok
12
I can bring the following business, professional or other experience, and skill to the board* This field is required.
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Large
Normal
Small
Ok
Ok
13
I would like to be a member of the board for the following reasons: * This field is required.
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Large
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Small
Ok
Ok
14
I would like to be a World Service Business Conference Delegate for the following reasons: * This field is required.
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Small
Ok
Ok
15
Brief account of my OA recovery story – physical, emotional, and spiritual* This field is required.
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Large
Normal
Small
Ok
Ok
Should be Empty: