Unity With Diversity (UWD) Request Form

PLEASE NOTE: The purpose of this request form is to connect "diverse" members of Overeaters Anonymous (OA).

The goal of the UWD request form is to assist OA members as follows:

Provide a way a person can ask for a list of contact people including their name, email address, and phone numbers to be emailed to them.
Provide a way the person can send their own contact info so UWD can send them the list of volunteers with their diversity.
Provide a a way a person can join the list of members with experience.

Select an option: *

Request list from UWD to help my recovery in OA

Apply to be a volunteer on the UWD diversity list

Please select one:

Name

Email

Phone

Comment

Confidentiality Agreement

By clicking the Terms of Service check box below, I understand and agree to the following:

The information I submit in this form is confidential and will not be shared outside of OA.
This information will not be distributed to the public.
This information will not be copied, printed, or distributed at any OA meetings.
This information will not be posted on a web site (local Intergroup or elsewhere) under any circumstances.

Terms of Service: *

I understand this request is solely for the purpose of helping my recovery in Overeaters Anonymous.

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