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Aa attendance sheet PDF results

aa - na attendance

Revised 5/01 aa - na attendance defendant's name officer's name the following record is a true representation of the aa/na meeting(s) that i have attended. i understand that falsifying or altering this document may constitute a criminal offense. aa/na group date time member's signature the community... Revised 5/01 aa - na attendance defendant's name... recovery is a process and we are asking that you please sign this sheet to document and verify the attendance...

aa attendance

... table leader phone # note: the probation department will randomly verify these signatures. a fabricated, copied or forged signature will subject the defendant to court penalties. aa attendance 48th district court probation department 4280 telegraph road, bloomfield hills, mi 48302 (248) 433-9373 defendant: times per week: date...

Alcohol/narcotics anonymous attendance form

Microsoft word - aa.na attendance form.doc. metro counseling services, inc. alcohol/narcotics anonymous attendance form www.aa-dc.org...

attendance form for alcoholics/narcotics anonymous meetings

attendance form for alcoholics/narcotics anonymous meetings name: supervision officer: the above captioned individual is required by his supervision conditions to attend alcoholics anonymous meetings. we will appreciate a member of the group signing this record of attendance at the end of each meeting. the defendant is expected to fill out all of... attendance form for alcoholics/narcotics anonymous... the above captioned individual is required by his supervision conditions to attend alcoholics anonymous...

State of michigan

... 541.6565 aa booklet information 248.541.7490 to a.a./n.a. representative: this is for the purpose of follow up and is required by the defendant's probation officer. please do not sign this form until the completion of the meeting. your cooperation in this matter is appreciated. defendant name:... State of michigan 46th judicial district a.a./n.a. attendance record case number 26000 evergreen, southfield, mi 48076 probation department phone 248.796.5850 aa...

aa attendance record

Please do not sign this form until the completion of the meeting. your cooperation in this matter is appreciated. phillip kieliszewski, probation officer 88-2 district court 989-785-8035 po box 789 989-354-9683 atlanta, mi 49709 date group name group chairperson aa attendance record name of probationer this form is for the purpose of follow up. it is required by his/her probation officer.

Twelve-step meeting attendance form alcoholics anonymous (aa)

Name of meeting: location of meeting: type of meeting (speaker; big book; step; etc.) signature of meeting chair: what was most striking about this meeting and why? Twelve-step meeting attendance form alcoholics anonymous (aa) student's name: date of meeting: time...

a.a. / n.a. attendance verification sheet

59th district court probation department please check your officer's name 3161 wilson ave. sw brad vanzanten grandville, mi. 49418 debra sobieray tel: 616-531-2690 matt heintskill fax: 616-531-3955 chad overweg proof of a.a. / n.a. attendance probationer's name: address:... a.a. / n.a. attendance verification sheet. 59th district court probation department please check your officer's name 3161 wilson ave. sw brad vanzanten...

alcoholics anonymous.

alcoholics anonymous is a fellowship of men and women who share their experience, strength, and hope with each other that they may solve their common problem and help others to recover from alcoholism. the only requirement for membership is a desire... To whom it may concern: this is only to verify that has attended the following meetings of alcoholics anonymous.

attendance record for alcoholics or narcotics anonymous meeting ...

attendance record for alcoholics or narcotics anonymous meeting/alcohol awareness class name: case no. the above named individual is required by the terms of his occupational driver's license to attend alcoholics/narcotics anonymous meeting(s) or alcohol awareness class. we will... We will appreciate a member of the group signing this record of attendance at the end of each meeting... aa/na/awareness class time date chair person...

F-2 informacion on alcoholics anonymous

Information on alcoholics anonymous for anyone new coming to a.a. for anyone referring people to a.a. this information is both for people who may have a drinking problem and for those in contact with people who have, or are suspected of having, a problem. most of the information is available in more detail in literature published by a... Information on alcoholics anonymous... this sheet tells what to expect from alcoholics anonymous.... courts ask for proof of attendance at a.a. meetings.

Corel office document

... in treatment. date of aa meeting town where meeting held initials of group leader/chairperson client's signature date of aa meeting town where meeting held initials of group leader/chairperson client's signature date of aa meeting town where meeting held initials of group leader/chairperson client's signature date of aa meeting town where... aa attendance record it is your responsibility to attend at least aa meetings per week. this form is to be brought back to the u.s. probation office each week that...

Meeting attendance verification

Meeting attendance verification name: date/time:/ circle one: (aa, na, ca) meeting: location...

aa/na/ga verification sheet

... meeting sign this form after the meeting has ended. please include the date of the meeting, the location and the time. please submit this form to your probation officer along with your monthly supervision report. date of meeting location of meeting(address & telephone number) signature of meeting secretary time that this form was signed aa/na/ga verification sheet due to your special condition(s), you are required to attend one (or ) aa, na or ga meetings per week. you must have the...

Meeting attendance log

... na, caduceus, sponsor meetings date meeting location type topic clients signaturedate 300-a outlet pointe boulevard, suite 100, columbia, south carolina 29210 telephone 803-896-5700 toll free 24hour helpline 1-877-349-2094 fax (803) 896-5710 Meeting attendance log participant name: recovery specialist for the period of: through continuing care, aa...

A. a. fact sheet

Service material from the general service office a. a. fact sheet the preamble of alcoholics anonymous alcoholics anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. the only requirement for membership is a... Service material from the general service office a. a. fact sheet the preamble of alcoholics anonymous alcoholics anonymous is... attendance at "closed"...

Recovery program meeting attendance log

Date time meeting type* location signature of verifying member general: aa-alcoholics anonymous specific: d-discussion meeting ca-cocaine anonymous sp-speaker meeting na-narcotics anonymous s/b-step or big book study meeting na-narcotics anonymous recovery program meeting attendance log*types of meeting (indicate both general and specific type): Recovery program meeting attendance log.xls. date time meeting type* location signature of verifying member general: aa-alcoholics anonymous specific:...

Arizona state board of nursing

Time period: from: to: sponsor's name: temporary permanent(must check one of the above) if you do not have a sponsor, please explain: home group: yes no location: below, and on the other side of this form, list only aa/na/ca meetings, the date you attended, and have the chair... Arizona state board of nursing 4747 north 7th street, suite 200 phoenix, arizona 85014-3655 (602) 771-7865 fax (602) 771-7882 aa/na attendance report name...

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