H&I Commitment Report Form

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Use this form to submit your report for each of your individual H&I commitments for Western Massachusetts.

Email *

Commitment Holder *

Please write your first name and last initial, ex. Ashley B.

Facilities *

Select the facility at which you hold your commitment. If you hold commitments more than one night a month and/or at more than one facility, you'll need to submit a separate report for each.

Commitment Date *

YYYY

Speaker(s) *

Write the names of your speaker(s). If they'd like to be added to the speaker list, send them this link: https://bit.ly/2YWwNKh

Please select the specific literature that is needed at the facility you are reporting for. *

No literature needed

IP# 6Recovery and Relapse

IP# 7 Am I an Addict?

IP# 11 Sponsorship, Revised

IP# 12 The Triangle of Self-Obsession

IP# 15 For the Newcomer

IP# 19 Self-acceptance

IP# 29 An Introduction to NA Meetings

IP # 30 Mental Health in Recovery

IP# 6SP (Spanish) Recovery and Relapse

IP# 7SP (Spanish) Am I an Addict?

IP# 11SP (Spanish) Sponsorship, Revised

IP# 12SP (Spanish) The Triangle of Self-Obsession

IP# 15SP (Spanish) For the Newcomer

IP#19SP (Spanish) Self-Acceptance

IP# 29SP (Spanish) An Introduction to NA Meetings

Required

Feedback from Facility Staff

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