S-Anon Speaker's Pool Registration Form

S-Anon Speaker's Pool Registration Form
Purpose: The S-Anon Speakers’ Pool gives the organizers of local and regional S-Anon events access to a broad selection of speakers who are willing to speak at retreats, marathons and other S-Anon recovery events. The WSO serves as the clearinghouse of information about S-Anon speakers for event organizers who request it. The WSO does not endorse or recommend anyone from the speakers’ pool; we simply collect the information and provide it to event organizers who request speaker information.

If you have experience, strength, and hope to offer others as a result of working the S-Anon program then we welcome your service.

Instructions: Please read the S-Anon Speaker's Guidlines before completing this form. Once submitted, your information will be shared with S-Anon event organizers who request information about potential speakers. The WSO will reach out every 3 years to verify you are still interested in speaking at S-Anon events.
S-Anon Speakers’ Pool Guidelines
1. We suggest that members serving in the speakers’ pool be well-grounded in the S-Anon program with at least two years of experience in the S-Anon fellowship. Members must also be working the S-Anon Steps, Traditions, and/or Concepts with a sponsor. We use the honor system — the WSO does not verify this information.
2. Because our common welfare comes first (Tradition One), speakers’ pool members commit to share only about themselves, not the sexaholic, and to focus on the S-Anon approach to recovery, avoiding the mention or discussion of specific titles and authors of publications other than S-Anon Conference Approved Literature. They commit to leave their other identities outside their share including other Twelve Step issues and programs, philosophies, religions, therapies, and occupations. They commit to speak about and from the S-Anon point of view, and agree to adhere to our principles, Traditions, and Concepts of Service during their speech. Speakers also agree to refrain from using profane, offensive, or sexually explicit language during their talk.
3. Events may be in-person, virtual, or hybrid. In some cases, event organizing committees may, at their own decision, reimburse speakers for travel, meals, and lodging expenses. Members who sign up for the speakers’ pool must provide at least one reference—someone who has heard them speak at an S-Anon event, and who would be willing to talk to event organizers who are evaluating speaker candidates.
4. S-Anon members who are organizing events and are looking for speakers from outside their local area can contact the WSO and get an updated speakers’ pool list. Organizers are then responsible for contacting speakers directly.
5. S-Anon members in the speakers’ pool will be asked to complete a new registration form every three years to indicate their continued interest in serving in the speakers’ pool. Re-registration will enable the WSO to provide the most current information about members’ speaking engagements and references to the organizers of events looking for speakers.
6. S-Anon members can add themselves to or remove themselves from the speakers’ pool at any time; the WSO will send out periodic communications to request that additional members register for the speakers’ pool.
First Name and Last Initial*
Phone Number
Email*
Home City & State*
What city do you reside in
What type of event are you willing to speak at? - select all that apply.*

S-Anon OnlyS-Anon & SA
Are you willing to speak utilizing technology?*

YesNo
Where are you willing to travel? - select all that apply.*

United StatesCanadaInternationalNot interested in travelingOther
Individual Recovery & Experience

Please provide information about your recovery journey.
When did you begin attending S-Anon Meetings?
Are you currently working the S-Anon Steps, Traditions, and/or Concepts with a sponsor?*

YesNo
Please summarize the S-Anon Step/Tradition/Concept work you have completed:
What special topics are you equipped to address?
List any topics you are qualified to discuss

Please provide names and contact information an S-Anon member who has heard you speak at an event:

	First Name Last Initial	Email	Phone	Event
Member 1
Member 2

Have you spoken to audiences of more than 50 people at S-Anon or other events?*

YesNo
Group Service
List information about S-Anon group service such as sponsorship, group service positions, starting of groups, etc.
Regional Service
List information about S-Anon service at the local/regional level such as a Group Representative to an Intergroup, assistance with planning local/regional recovery events, World Service Conference Delegate, etc.
International Service
List information about S-Anon service at the international level such as with the S-Anon Board of Trustees and BOT committees.
I have read the S-Anon Speakers’ Pool Guidelines and agree to abide by them. By submitting this form, I acknowledge that some events may record speaker sessions with permission. Speakers in such cases may be required to sign a release form.*

I agree
Signature*

Clear
Date Signed

MonthDayYear
Date
Newsletter

Subscribe me to the WSO Update monthly newsletter.
Should be Empty:

S-Anon Speaker's Pool Registration Form

S-Anon Speakers’ Pool Guidelines

Individual Recovery & Experience

Group Service

Regional Service

International Service