First and last name:

Phone number:

I would be interested in giving back in the following ways

Getting On The Mailing List For Information About Sober Nights Out
              Mailing address:

Getting On The Email List For Information About Sober Nights Out
              Email address:

Sitting on the Peer Advisory Board

Becoming a Mentor

Leading a Back to Basics Class

Being a Sharing Partner in a Back to Basics Class

Leading a Transitional Peer Group

Assisting in putting on Sober Social Events

Making Outreach Phone Calls

Coming Back to 1016 Detox Sharing My Story

Coming Back to 1016 Residential Sharing My Story

Coming back to 1016 Outpatient Therapy Groups and Sharing My Story

Being a Sounding Board for Treatment Related Ideas

Help Improve Client Experiences- Walking Through 1016 Services and telling about My Experience and what improvements if any could be suggested

If you have additional ideas, please write them in here: