Alateen Sponsor (aka AMIAS) Reference form
After completing this form, be sure to push the "Submit" button on the bottom of the page; (scroll down to see this button). This form needs to be completed by an Al-Anon member over the age of 18, who knows the applicant well. One of the references needs to be from the applicant's Al-Anon sponsor. We use this form generator because it works well. It's use does not imply endorsement.
Applicant's name (the person applying to be an Alateen sponsor)
Your name (the person providing the reference)
Street Address Line 2
State / Province
Postal / Zip Code
Your email address
Your phone number
How long have you known the applicant?
Are you the applicant's Al-Anon sponsor?
Do you know if the applicant has worked, or in the process of working the 12 steps of Al-Anon and is familiar with the traditions and concepts of the program?
Yes, I know for sure
I don't know
No applicant has not worked through steps
Would you recommend that the applicant become an Alateen sponsor ?
Type a question
Should be Empty:
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