2021 Walk Planning Committee Application
Thank you for your interest in volunteering on the Alzheimer's Association Walk Planning Committee! We are seeking passionate and driven individuals in our region to join our existing Walk Planning Committee. Committee members will focus attention on growing The Walk to End Alzheimer's (alz.org/walk) in their city.

Within a few weeks of your application being received you will receive a follow-up email from the Walk Manager with next steps.
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Personal Information
First Name *
Last Name *
Email Address *
Cell Phone Number *
Home Address *
City *
State *
Zip Code *
Current Place of Employment
Job Title
Briefly describe your work in 1-2 sentences
Which Walk Planning Committee are you interested in serving on?
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How did you hear about the Walk Planning Committee? *
Have you previously been involved with the Alzheimer's Association? Click all that apply *
What is your connection to Alzheimer's disease? *
Why do you want to serve on the Alzheimer's Association Walk Planning Committee? *
Which of The Walk Planning Committee areas of focus are you most interested in getting involved with? (Check all that apply) *
Do you currently serve on any boards or committees with any other organizations? If so, which one(s)? *
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