H&I Speaker Form

Are you a member of Narcotics Anonymous? *YesNo

This form is for NA Members only. If you are not an NA Member but wish to contact the H&I Subcommittee, please enter your reason below.

Email Address

First Name *

Last Initial *

Phone *

Gender *MaleFemaleNon-binaryPrefer not to say.

Your Clean Date *

Month

Day

Year

Are you willing to speak at a virtual meeting via Zoom? *YesNo

Are you willing to speak at H&I meetings outside of where you attend meetings regularly? *YesNo

Which day(s) are you generally available? *Any day of the weekMy schedule varies. Contact me for availability.Only Certain Days (Option to choose available days will appear)

Are you willing to receive emails when a chair of an H&I commitment is in need of a speaker? *YesNo

Email Address *

Are you interested in learning more about taking on a regular H&I commitment? *YesNoWe are in need of addicts who are willing to serve as panel leaders and members.

Download or view the H&I Sign for displaying in your meeting…

Fill out the H&I Speaker Form online…

The purpose of this form is to identify NA members who are willing to speak at H&I commitments in the Greater Philadelphia Region of Narcotics Anonymous.