Contact Information:
Name
Address
City
Postal Code
Home Phone
Work Phone
Cell Phone
Email address
What categories interest
you:
Friendly Visiting
Information Days
Mealtime Partner
Education
Fundraising
Office Support
Board of Directors
Support Groups
General Information:
Are you a student
completing your 40 hours of volunteer work?
Please list your past volunteer position(s).
How did you hear about the Alzheimer Society?
Have you any previous
awareness/experience of the effects of Alzheimer
Disease? If so, please describe.
Describe your main reason for wishing to volunteer
with the Alzheimer Society.
References:
Please list
three references with their name, phone number,
address, email and relationship.