Alzheimer's Association Volunteer Interest Form

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Thank you for your interest in volunteering with the Alzheimer's Association, Hudson Valley Chapter!

We rely on dedicated volunteers to achieve our vision of a world without Alzheimer's and all other dementia. We seek committed, passionate volunteers in Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester counties.

Please complete the form below and we will contact you to discuss our opportunities. We have something for everyone. We look forward to hearing from you!

24/7 Helpline 800.272.3900 www.alz.org/hudsonvalley www.alz.org/hudsonvalley/volunteer

Email *

First and Last Name *

Phone Number

Preferred way of contact *

Phone

Either

Zip Code *

Volunteer Role - Please check any opportunities you are interested in *

I am not sure yet- please contact me to discuss!

Community Educator

Community Representative

Support Group Faciliator

Advocacy

Walk to End Alzheimer's Committee Member or Day of Support

Subzero Heroes Committee Member or Day of Support

Do What You Love to End ALZ Committee Member or Day of Support

Office Volunteer (Purchase or Poughkeepsie)

Required

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