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Aa meeting log 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... following record is a true representation of the aa/na meeting... and we are asking that you please sign this sheet...

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... signature of verifying member general: aa-alcoholics anonymous specific: d-discussion meeting ca...

aa attendance

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

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 stop drinking. there are no dues or fees for a.a. membership; we are self supporting through our... To whom it may concern: this is only to verify that has attended the following meetings of alcoholics anonymous.

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... ... 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.

aa/na record of attendance

... division of the medical society of the state of new york 99 washington avenue, suite 1111, albany, ny 12210 main: (518) 436-4723 fax: (518) 436-7943 interstate: 1-800-338-1833 downloadable forms at www.cphny.org (select "forms") date type of meeting* group name location i certify that this is an accurate record of my attendance._ Self-help meeting log/record of attendance aa/na record of attendance. self-help meeting log/record of attendance committee for physician health a division of the...

aa/na/ga verification sheet

... 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... you must have the secretary of the meeting sign this form after the meeting...

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... This sheet tells what to expect from alcoholics anonymous. it describes what a.a. is, what a.a. does, and... monthly international journal - also known as "our meeting...

aa/na meeting log

... number date time and location of aa/na meeting signature of meeting participant (other than self) please feel free to make as many copies of this form as necessary. aa/na meeting log must submit by january 20, april 20, july 20, october 20 with other required forms. participant information: name case no: home address office...

meeting attendance log

... recovery specialist for the period of: through continuing care, aa, 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... meeting attendance log participant name... continuing care, aa, na, caduceus, sponsor meetings date meeting location type topic clients...

State of michigan

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 hotline 248.541.6565 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... Microsoft word - aa na attendance record... please do not sign this form until the completion of the meeting. your cooperation in...

Corel office document

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 you are 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... 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...

aa attendance record

It is required by his/her probation officer. 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... please do not sign this form until the completion of the meeting. your cooperation in...

a a/ n a support group sign- in shee t date: meeting location ...

... go on-line {^@^} www.mhweb.org for a complete listing of self-help meetings 1st step referral services 734-485-6161 aa/na support group sign-in sheet date: meeting location: signature: phone...

Attendance record for alcoholics or narcotics anonymous meeting ...

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 appreciate a member of the group signing this record of attendance at the end of each meeting/... Attendance record for alcoholics or narcotics anonymous meeting/alcohol awareness class... aa/na/awareness class time date chair person...

meeting attendance log

meeting attendance log utah project: lasal creek watershed removal action natural resources date: october 13, 2009 oil, gas & mining time7:00 am abandoned mine reclamation program place: lasal jct/project sites purpose: pre-bid meeting name (please print) john bockich title president company/department st. cloud mining e-mail jbokich{,,at,,}stcloudmin ing... meeting attendance log utah project: lasal creek watershed removal... jsiegrist<;;at;;>we eminuche.com street/po box po box aa... denver, co 80225 fax (303)236-3508 document2 sheet...

meeting attendance verification

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

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...

meeting attendance log

Chippean rocks project amr/037/905 natural resources date: october 21, 2003 oil, gas & mining time 9:00 am abandoned mine reclamation program place: junction us 191 & sr 95 south of blanding, utah purpose: contractors' optional pre-bid meeting name (please print) max frick president company/department meeting attendance log utah project: cottonwood wash... po box aa phone (970) 565-7430 (970) 795 9747... salt lake city, ut 84114 fax (801) 359-3940 sheet...

Support group attendance verification sheet

... signature witness phone sf_f02.doc rev. 11.03.2011 oakland county community corrections division support group attendance verification sheet main office 250 elizabeth lake road, suite 1520 pontiac mi 48341 office: (248) 451-2310 fax (248) 451-2319 south oakland office 1151 crooks rd troy mi 48084 office: (248) 655-1260 fax (248) 655-1281 Department of public services community corrections division barb hankey, m.a. manager date location of group group location phone number group time group...

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