Resume Form - Narcotics Anonymous

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RESUME FORM
Date Submitted: ___________________________ Clean Date: __________________
Name: _________________________________________________________________
Address: _______________________________________________________________
Phone: ________________________ Cell Phone: _____________________________
Position: _______________________________________________________________
Qualifications:
AREA SERVICE:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
REGIONAL SERVICE:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
WORLD SERVICE:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Questions: Have you ever not completed a service commitment?
EXPLAIN:_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
Are you willing to travel in this position?
______________________________________________________________________

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