GROUP GSR INFORMATION REQUEST FORM

GROUP GSR INFORMATION REQUEST FORM

 

Dear General Service Representative,

 

Now that more and more live meetings are opening back up and many groups are continuing with Zoom only, Live only or hybrid Live/Zoom meetings, your District 22 group needs some quick, updated information. Please use this simple, editable MS WORD document form to fill in the blanks and return it to us as soon as possible, please.

 

Regularly scheduled meeting(s) dates and times each week: (This form is writable so use as much space as necessary to be complete and accurate, please, even if it goes to multiple pages. Just place cursor after each day of the week to type and complete ALL information.

 

Please note if “OPEN” or “CLOSED” and meeting type; i.e. speaker, Big Book, Step, etc.?

“Live”, “Zoom” of Hybrid? (If Zoom or hybrid, provide Zoom Meeting Number and Passcode if required.)

 

Group Name (As on record with SEPIA):

 

Sunday:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

 

Current GSR Name:

Phone:

Email:

 

Alternate GSR Name:

Phone:

Email:

 

That’s it! Please email this completed form by Friday, July 30th, 2021 to dschmalen@ecoverycareers.com or print and mail to: D Schmalen, 501 Cambria Avenue, Suite 128, Bensalem, PA 19020

 

“You are your home group’s link to the whole of AA”

Thank you for your service!