Greetings from the Human Resource Panel. If you have five or more years clean, and service experience or skills that could contribute to world service projects, we would like to invite you to become a member of the World Pool. It is easy to do, simply complete the attached World Pool Information Form and return it to us.

Being a member of the World Pool means that you may be considered for world service trusted servant work. For example, when the World Board needs members to participate in projects or work groups, or when the HRP considers nominees for World Service Conference elections, the World Pool database is searched for people who meet the identified requirements.

The form is designed so that you can provide information that gives an accurate and complete description of yourself, including your abilities, skills and service history. For that reason, it is very important to commit the time necessary to complete the form thoroughly and thoughtfully. It is also very important to give thorough consideration to the references you choose to provide. These individuals might be contacted and interviewed if you are considered for nomination to an elected position. 

Our hope is that as the World Pool grows in numbers, there will be more and more qualified NA members available. With that in mind, we hope you don’t become discouraged if your name is not drawn from the pool. We believe that completing a World Pool Information Form is in itself an act of selfless service. Also, even if you have previously submitted one of the older resumes or forms, or you already are in the World Pool, it is important to complete a WPIF every three years so that we have the most accurate and up-to-date information.

Thank you for your willingness to serve the Narcotics Anonymous fellowship.

e.

World Pool Information Form

(Part One)

If you would rather download a PDF version which you can mail or fax to the Human Resource Panel, click here.

You must have at least 5 years continuous clean time to be in the World Pool.
The text you type in this form must be in English.

YOU MUST FILL OUT BOTH PARTS OF THIS FORM AT THE SAME TIME!!

Are you updating an existing form?  If yes, please click here.
(Please be certain that you are updating a form you filled out AFTER July 2002. 
Otherwise, please fill out this form.)

This form is in two parts and will take at least 20-45 minutes to fill out. Both parts must be completed in one session.  If you believe you do not have enough time to complete this form in one session, please try Option 2.

Personal Information

Your first and last name:

Your clean date:  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / January February March April May June July August September October November December / 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2001 2002 2003 (dd/mm/yyyy)

Address: 

City:    State/Province: (if none, enter "none")

Postal/Zip Code: (if none, enter "none") Country: Pull Down and Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Arub Australia Austria Azerbaidjan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland Former Czechoslovakia Former USSR France France (European Territory) French Guyana French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe (French) Guam (USA) Guatemala Guinea Guinea Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast (Cote D'Ivoire) Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique (French) Mauritania Mauritius Mayotte Mexico Micronesia Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia (French) New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Polynesia (French) Portugal Puerto Rico Qatar Reunion (French) Romania Russian Federation Rwanda S. Georgia & S. Sandwich Isls. Saint Helena Saint Kitts & Nevis Anguilla Saint Lucia Saint Pierre and Miquelon Saint Tome and Principe Saint Vincent & Grenadines Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Tadjikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (USA) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe

Home Phone:   Fax:

Email Address:

Your Region:

General Service Interest:

Please let us know your preference based upon your skills and background

I am interested in working on WSC Projects 
(you may choose this option in addition to a preference for a service position)

Languages

For each language, please indicate your skill level as FLUENT, AVERAGE, OR MINIMUM.
(If needed, please write in other languages under English)

Translate to English

Translate to English

Education

Please complete all sections that apply

Secondary/High School Completed Choose One yes no

College/University/Technical School Choose One yes no

Professional and/or Community Organization Memberships

Occupational Skills - Work Experience

Usual Occupation/Job Title How long have you done this?

Other or Previous Occupations How long have you done this?

Current skills/experience you are able to demonstrate:

General Skills - Please check UP TO FIVE only

Any other skills not listed above:

Business Experience - Choose Usual Status Choose One Administrative Executive Management Middle Management Senior Management Team Leader Other

If you chose "Other" above, please explain:

If you chose "Other" above, please explain: