Young ProfessionALZ of Tennessee Board Application
Thank you for your interest in the Alzheimer's Association Young ProfessionALZ Board of Tennessee! We are seeking passionate young professionals (under 40) in the Nashville area to join this inaugural board. Young ProfessionALZ of Tennessee will engage with local advocacy and program efforts, but will focus attention on growing The Longest Day (alz.org/thelongestday).

If you have any questions, please contact Development Manager Kelsey Williams at 615-315-5880 or kewilliams@alz.org.

The deadline for this application is Friday, November 30. After your application is received, you will receive a follow-up email with next steps.
Personal Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mobile Number *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Birthday *
MM
/
DD
/
YYYY
Employment Details
Current Place of Employment *
Your answer
Title *
Your answer
Work City (if not Nashville)
Your answer
Briefly describe your work in 1-2 sentences *
Your answer
About You
Have you previously been involved with the Alzheimer's Association? If so, in what capacity? *
Your answer
What is your connection to Alzheimer's disease? *
Your answer
Why do you want to serve on the Alzheimer's Association Young ProfessionALZ Board? What do you hope to gain? *
Your answer
What do you think is your greatest strength? How would this strength be valuable to the Young ProfessionALZ Board? *
Your answer
Are you currently a member of any other boards? If so, which one(s)? *
Your answer
Membership Details
I am ready and able to commit to the expectations of Young ProfessionALZ members: *
Required
I VOLUNTARILY AGREE to accept and assume all responsibility and risk arising from my participation in activities with the Association. My participation in these activities is purely voluntary. I also understand and acknowledge that no insurance benefits, medical or otherwise, will be provided to me by the Alzheimer's Association during these activities or as a result of my participation in the activities. I agree that by volunteering for any activities which result in my driving a vehicle, I am certifying that I have a valid driver’s license and required insurance coverage. I VOLUNTARILY RELEASE the Alzheimer's Association from any and all liability, claims, causes or rights of action that arise out of or are in any way connected with my participation in these activities, including, but not limited to any and all negligence, fault, or strict liability of the Alzheimer's Association for any and all injury and damage to myself or to my property. *
Required
Thank You!
Submit
Never submit passwords through Google Forms.
This form was created inside of Alzheimer's Association. Report Abuse