Individual Registration
COSA's International Service Organization wants to help you get started in your recovery from the affects of compulsive sexual behavior. Here's what COSA-ISO can do for you:- We can locate the closest registered COSA meeting in your area.
- If there isn't an active COSA meeting, we can help connect you with other people in your area who are interested in starting a COSA group.
- We can add you to our temporary sponsorship program. A recovering COSA member will exchange letters, phone calls, and/or e-mail messages with you.
Please print this form, complete it, and send it to:
International Service Organization of COSA (or ISO of COSA)
PO Box 14537
Minneapolis MN 55414 U.S.A.
Phone: 1-763-537-6904
E-Mail: info@cosa-recovery.org
Please fill in the following information (whatever you feel comfortable sharing):
| Today's date | ________________________________________________ |
| First name and last initial | ________________________________________________ |
| Nearest major city | ________________________________________________ |
| County of Residence | ________________________________________________ |
| Mailing address | ________________________________________________ |
| ________________________________________________ | |
| Phone number | ________________________________________________ |
| Messages okay? | Yes___ No___ |
| Best time to call? | ________________________________________________ |
| Private e-mail address (no one else can access it) | ________________________________________________ |
| Please check all that apply: | ____ I want to know where the nearest registered COSA meeting is. ____ I would like my name and contact information given out to others who are looking for support or to anyone having information about starting a meeting in my area. ____ I am requesting a temporary sponsor until a group is available in my area. (Be aware that this is a new program, so it may take a while to match you with someone.) ____ I want to register as a COSA Group. Please send me a group registration form. |
| Signature | ________________________________________________ (just type your name again if on e-mail) |
If you've requested a temporary sponsor, your COSA support person will make initial contact with you. Your anonymity will be respected. Any mail sent to you will arrive in a plain envelope (the return address will not include "COSA"). Phone messages will not mention specifics, and e-mail notes will not be copied to anyone else. We ask that you respect the anonymity of your sponsor as well.
Your sponsor will be a member of COSA who is dealing with the affects of compulsive sexual behavior in her or his life. COSA members do not give advice or act as a therapist. Your sponsor will listen and share experience, strength, and hope.
Please state whether you are male or female, and tell us a little bit about your situation, so that we can match you with an appropriate person.
COSA-ISO does not wish to receive information about individuals without their knowledge and permission. If you are thinking about filling out one of these forms for a friend or family member, please do not do so. We encourage you to let the other person know about COSA, and ask if they would like a copy of the form to fill out for themselves. If they request assistance, then, of course, feel free to provide it with the other person's active participation.
COSA encourages potential new members to seek help for themselves when they are ready.