New AMIAS District Approval Form

DISTRICT INSTRUCTIONS

You have received an email from an Al-Anon Member in your district who has submitted an application to become an AMIAS.

Please review their application and sign the form. Provide your District number and service position.

If you have any questions, contact the Area Alateen Process Person aapp@scws-al-anon.org.

Name of Applicant

I believe the statements submitted by the applicant to be accurate and true. I submit that the applicant should be certified as an AMIAS in order to be of service to Alateen in Southern California.

Please add comments below
Name
Clear Signature
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