Regional Trustee - Members AA

This application form is to be completed by members applying for a Regional Trustee position.

In keeping with our service structure, all applications must be endorsed by a local Area within your Region before submission. Endorsement confirms the Area’s support and recognition of the member’s willingness and suitability to serve in this role.

"*" indicates required fields

Name*

Phone Number*

Email*

Have you previously been known by another name?

Yes

Other Names

If known by other name(s), please provide

Date of Birth*

Date of Sobriety*

It is recommended, but not essential that applicants have at least 10 years of continuous sobriety

Address

Street Address Surburb or City State Post Code

Education*

Occupational Background*

Region and Area*

ASIC Banned or Disqualified Register

Yes

Are you currently listed or have you ever been listed on the Australian Securities and Investment Commission (ASIC) banned and disqualified register, as disqualified from involvement in the management of a corporation?

ASIC Banned Yes

Please provide relevant details

Leadership*

Having leadership experience enables a member to deal with AA affairs with grace and a minimum of friction. Good leaders can bring to the board the quality of resoluteness and courage of their convictions, along with good judgment, objectively and willingness to stand up and express themselves. How have you demonstrated these leadership qualities in your AA service work or elsewhere?

Service experience*

Regional Trustees are selected for their service experience and familiarity with AA principles. As members of the Board, they serve AA as a whole. While they do not “represent” a geographical area they bring a regional point of view to Board decisions.

Commitment*

This position represents a 4 years commitment. The Board meets a few times per year face to face, including at Conference and by web conference as needed. There are also Board Committees and Working Groups that meet throughout the year. It is also recommended that Regional Trustees meet regularly with their local areas. These responsibilties all require a commitment of time and effort. Do you have the time and capacity to meet this commitment?

What are your current AA activities?*

Relevant activities outside of AA*

Is there anything else you think should be taken into consideration?

Has this application been endorsed by your Area?*

Please provide the Area and name of relevant Delegate for confirmation.

Privacy Notice*

I consent to Alcoholics Anonymous Australia using my information to respond to my enquiry. My information will be handled as sensitive. See our Privacy Policy for more details.