Questions marked with a * are required Exit Survey

Thank you for your interest in volunteering for Women for Sobriety, Inc., a 501(c)(3) non-profit organization. Please complete the following application as thoroughly as possible. Additional questions may appear based on the answers you provide.

You may save your answers and return to enter additional information at a later time. Simply click on the button marked Save Page and Continue Later. You will then be prompted to enter your email address so the program can send you a link to complete the form later. Be sure to check your junk folder, since it is an auto-generated email and some email servers will mistakenly label it as spam. Some Mac users have had difficulty with the Save Page and Continue Later function; Mac users may wish to plan to complete the application in one sitting.

Your application will not be forwarded to a human until you complete the entire form, including signing the Confidentiality Agreement and Electronic Resources Use Agreement. You will know you have completed everything when the Review/Print page appears.


***Note: Even though this application uses QuestionPro software, it is not a survey.***

Contact Information:
* First Name : 
* Last Name : 
* Phone : 
* Email Address : 
Mailing Address:
WFS Online Forum screen-name: (if applicable)
Your Time Zone:
* Are you a woman who is in recovery from (or has overcome) a substance use disorder using the New Life Program?
Prefer not to say