Friend Profile If you are a human and are seeing this field, please leave it blank. Personal Info: First Name Last Name Address 1 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone Email Faith Background: Born again (spiritual birthday) date: Home Church: Pastoral References: (Name, Church and Contact Info) Brief Testimony Recovery Background (when was your last drink or dug. Total abstinence required to answer this) Sobriety Date: Mentor/Sponsor Availability (check all that apply) Receive calls of inquire for recovery Call those wishing someone to talk about recovery Sponsor / Mentor in Recovery Take someone to church (see our list of Partner churches) Do you attend meetings? AA Al-Anon NA 12 Step-Other Celebrate Recovery Recovery With Jesus I am available to take someone to meetings
