Age-Friendly + Dementia-Friendly Business Form
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Application instructions
Please complete this form in order to become a certified Age-Friendly/Dementia-Friendly Business. Completing the form is the first step in the process. If you have questions, contact Andrea via email or phone. Andrea Burns, andrea.burns@boston.gov, 617-635-3213
Business Name *
Business Type *
Owner Name *
Business Address *
Neighborhood *
Phone Number *
Website
How many employees do you have?
What kind of customer service training do you offer employees?
By signing this form, I am acknowledging that I wish to begin the process of becoming an Age-Friendly and Dementia-Friendly Business through the City of Boston's initiative. *
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