Online Service Resume

Date of Nomination

First name and last initial

Clean date

Total clean time

Phone

Email *

Address

Position nominated for

Term of commitment

of am position

Nominated by (ONLY for RCMs)

Nominated by (ONLY for VRSC Trusted Servants)

Nominated by (ONLY for VRC, Ad Hoc Chairs, & Task Force Chairs - type in the name of your subcommittee or task force)

Second by (Please type in their first name and last initial)

Second by (Please ALSO select Area of the 2nd - only RCMs can 2nd a nomination)

Please list all group, area, regional, and world service positions you have held within the past five years and approximate dates for each period of service:

If you have not completed a term as a trusted servant or have been removed from a service position in the past five years, please explain:

What resources and experience (school, work, volunteer, etc.) do you believe you can bring to the position for which you have been nominated, please explain:

Please include any other information you consider relevant to your nomination:

I have read the attached letter and am willing to make the necessary commitment as a trusted servant of the Volunteer Region of Narcotics Anonymous. If elected, I pledge to perform the duties relative to my position to the best of my ability. I understand that any committee or person handling any NA funds is completely accountable for these funds at all times. I understand that the VRSC has the authority to pursue legal action against any individual found misappropriating these funds.

Yes and I agree
No