Forms

Region 5 Forms


Speaker/Sponsor List Forms

Speaker/Sponsor List Request Form

Submit your Speaker/Sponsor Application/Update Form here »
(Download PDF Version)


Financial Forms


Contribution Form

This is for use by OA groups, intergroups, and members to send 7th tradition contributions to Region 5.

Representative Funding Request
This is for use by intergroups to request a scholarship for a representative to attend an assembly.

Reimbursement Form
This is for use by Region 5 officers and committee chairs to request reimbursement for expenses for Region 5 business.

Credit Card Use Form
This is for use by Region 5 officers to account for charges on Region 5 credit cards.

Delegate Support Fund Form
Intergroups may use this form to request funding assistance to support their delegates going to WSBC.

PIPO Funding Request Form
Intergroups may use this form to request funding assistance with PIPO projects.


Application Forms

 

Application for R5 Officer (.docx) (pdf)
This is to be received by September 1st for the applicant to be considered a candidate in the November elections.  On even numbered years, elections are held for chair and treasurer.  On odd numbered years, elections are held for vice chair and secretary.

Application for R5 Delegate (.docx) (.pdf)
This is to be received by October 1st for the applicant to be considered to represent Region 5 at the World Service Business Conference the following spring.


Committee Forms

 

 Suggested Committee Agenda and Report Format
This gives the committee chair guidance in developing the committee agenda and the secretary guidance in writing the committee report.


Motion Forms

 

R5 New Business Form
This gives guidance for writing a motion for new business.

R5 Policy Amendment Form
This gives guidance for writing a motion to amend the current R5 policy documents, including the Policies and Procedures, the Convention Guidelines, and the Standing Rules.

R5 Bylaw Amendment Form
This gives guidance for writing a motion to amend the current R5 Bylaws.