Volunteer Application Form

Volunteers play a crucial role at the Alzheimer Society. They help expand the reach of programs and services, speak out in public or keep our offices functioning.

Group of people smiling at the camera

Applicant information/Contact

Emergency Contact


5. What is your previous & current volunteer experience?

6. What is your previous & current work experience?

7. Please describe your availability:

Monday
Tuesday
Wednesday
Thursday
Friday
8. How often would you like to volunteer?

9. References

10. Parental Consent (if under 18)

Signature of Parent/Guardian
Signature of Parent/Guardian
Please note: A parent /guardian must also sign for volunteers under 18 years of age.

11. Applicant Signature

Signature