Volunteer Application

Volunteer Application

The information collected on this form will help us find the most meaningful and appropriate volunteer placement for you. Thank you for your interest!
Volunteers are crucial to the work of the Alzheimer Society of Alberta and Northwest Territories. Volunteers can support with events, client programs and services, general office support, communications, donor relations, and so much more. More information can be found at https://alzheimer.ca/ab/en/take-action/volunteer

Please complete this application and the Volunteer Engagement Coordinator will connect to learn more about you and discuss available opportunities.
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*
Please describe your main motivation for volunteering with the Alzheimer Society or what you hope to gain from a volunteer experience.
Availability*

Weekday MorningsWeekday AfternoonsWeekday EveningsWeekendsFlexible (interested in non-scheduled volunteer opportunities)Other
Areas you wish to volunteer (check as many as interested):*

Sharing my story (i.e. telling personal story at an event, on social media or podcast, or writing it out to be used on social media, website, newsletter, etc.)General Office SupportAdministration/ReceptionAlzheimer Face Off Hockey Tournament (Edmonton-only event)EventsAwareness Booths/TablingCasinoSupport Group FacilitatorProgram Helper (in-person)Program Helper (online)Walk for Alzheimer's (Day of Support)Walk for Alzheimer's Engagement CommitteeCommunications/WritingGarden CommitteeOther
Please note any volunteer opportunities you would not be interested in:
If you chose "share my story" as a volunteer interest, please share a couple of details about your experience with dementia or Alzheimer's and how you would be comfortable with your story being shared.
Please share any relevant education, work or volunteer experience, or other skills that would benefit you in how you hope to contribute to the Alzheimer Society.
How did you hear about the Alzheimer Society volunteer opportunties?

Social MediaAlzheimer Society WebsiteVolunteer-Related Website (i.e. Charity Village, Volunteer Connector, etc.)Personal Experience with Alzheimer SocietyWord of Mouth (friend, family, etc. recommended)Other
Would you like to receive information and newsletters from the Society via email?*

YesNo
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. Depending on the role there may also be a requirement for positive references and a clear police record check and/or vulnerable sector check.

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 email volunteer@alzheimer.ab.ca
Should be Empty: