TO BE COMPLETED EACH WEEKEND (SAT/SUN)

Question Title

* 1. What is today's date?

Today's Date

Question Title

* 2. Please provide your contact information?

Question Title

* 3. Where do you work?

Question Title

* 4. How many hours did you work this week?

Question Title

* 5. How many hours of community service did your perform this week?

Question Title

* 6. Upload your community service proof here.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

Question Title

* 7. Who is your Mentor?

Question Title

* 8. Did you speak with your mentor this week?

Question Title

* 9. Did you attend AA/NA meetings this week?

Question Title

* 10. Do you have a sponsor?

Question Title

* 11. What time do you attend Group Classes?

Question Title

* 12. Did you attend Group Class this week?

T