Walk Engagement Committee Application

Walk Engagement Committee Members are the local champions for the IG Walk for Alzheimer's! Members will connect with their community on how to get involved and support the Alzheimer Society and all the programs and support offered. For a full volunteer position description, click here.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Preferred Contact Method

EmailPhone

Emergency Contact*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.

Emergency Contact's Relationship to You*

Areas of interest or skills

Poster and other promotional material distributionSearching and accessing promotion through local event boards, newsletters, etc.Seeking sponsorsConnecting Alzheimer Society with community leaders to be involved in walk program (i.e. recommending MCs or speakers)Other

Availability*

Weekday MorningsWeekday AfternoonsWeekday EveningsWeekends

Volunteer Acknowledgement

Please note that should you be selected as a volunteer with the Alzheimer Society of Alberta and Northwest Territories you will be required to complete signing of confidentiality, media release, and volunteer agreement forms and complete required training for the role.

We respect your privacy. The Alzheimer Society of Alberta and Northwest Territories collects your personal information in order to help identify and align suitable volunteers and opportunities. Only authorized Alzheimer Society staff will have access to this information.

By submitting this form, you verify that all information provided is true and accurate.

For further information call toll free 1-866-950-5465 ext. 422 or ask to speak with the Volunteer Engagement Coordinator.