Volunteer Interest and Application Form
Thank you for your interest in becoming an Alzheimer's Association Volunteer. We just need some information from you to get started. After you complete the form, we'll contact you to learn more about your interest areas.
Your Contact Information
First Name *
Your answer
Last Name *
Your answer
Address *
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City *
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State *
Zip Code *
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Telephone *
Your answer
Alternate Telephone
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Email *
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Contact Preference *
Required
Volunteer Opportunities
The Alzheimer's Association engages volunteers in every element of our mission. Volunteers' personal experiences, professional skills, local networks and unique insights amplify our mission and mobilize communities around this cause.

We deeply value a diverse team of volunteers and staff partners who work together to end Alzheimer's for all individuals, especially rural, minority and underserved communities, which can face extra challenges when confronted by Alzheimer's disease. Please check all areas that interest you and we will follow up with specific opportunities and details.
Community Awareness & Fundraising
Walk to End Alzheimer's®:
Volunteers plan Walk to End Alzheimer's fundraising events annually in more than 600 communities nationwide. Walk to End Alzheimer's is the world's largest event to raise awareness and funds for Alzheimer's care, support and research.

The Longest Day®:
Volunteers play a critical role in community outreach and recruitment for The Longest Day, an annual fundraising event held on the summer solstice - the day with the most light. Participants from around the world fight the darkness of Alzheimer's by raising funds and awareness through an activity of their choice.
Programs & Services
Community Education:
The Alzheimer's Association offers more than 500 education programs throughout our Chapter to help caregivers and people living with dementia understand what to expect, prepare to meet the changes ahead, and live well for as long as possible. Alzheimer's Association Community Educators are needed to deliver programs in communities across the nation.

Support Groups:
Held monthly in more than 160 communities throughout Northern CA and Northern NV, Alzheimer's Association support groups offer connections for caregivers and people living with dementia and provide the encouragement to move forward living with the diagnosis. Support Group Facilitators are needed for both caregiver support groups and people living with dementia groups.

Community Outreach:
Representatives are needed to serve as an extension of local Alzheimer's Association offices at community events (i.e., health fairs, festivals, congregations, community centers, corporations) to distribute information and connect constituents with additional Alzheimer's Association services.

Early Stage Social Engagement Programs:
Alzheimer's Association early-stage engagement programs provide a comfortable way for people living in the beginning stage of dementia to get out, get active and get connected to others. Event coordinators, assistance and leaders are needed in local communities.

Program Promotion & Assistance
Volunteers are needed in chapter offices to help with a variety of program assistance roles from planning community education calendars to providing materials to volunteers who deliver these services to data entry of constituent records.
Advocacy
Federal Advocacy:
Alzheimer's disease is one of the most critical public health issues in America. This is why we are unrelentingly advocating for public policies that increase critical research funding and support all those affected. Now is the time to join us. Help persuade policymakers to make Alzheimer's a national priority.

State Advocacy:
State policy priorities often influence direct care of individuals facing Alzheimer’s. Join us in making your voice heard to state policy and government officials to make Alzheimer’s a local priority.

Alzheimer's Impact Movement (AIM):
AIM is the advocacy arm of the Alzheimer’s Association. AIM works to secure policies to overcome Alzheimer’s and dementia, including increased investment in research, improved care and support, and development of approaches to reduce the risk of developing dementia.
Medical & Scientific
TrialMatch®:
Don't just hope for a cure. Help us find one. Join more than 330,000 people by signing up to learn more about clinical trials that may be right for you. TrialMatch is a free clinical studies matching service that connects individuals with Alzheimer's, caregivers and healthy volunteers to current studies. We do not share your data with anyone -- it is only used to provide you with a list of clinical studies that may be a good match for you. It is then up to you whether you decide to reach out to the study team to learn more and potentially volunteer for the study.
Diversity & Inclusion
Multicultural Outreach:
Help us reach diverse audiences nationwide by serving as a local Alzheimer's Association Community Representative in your neighborhood, congregation or community.
Is there a particular community you can help us engage?
Your answer
Marketing Communications
Volunteers with professional experience in public relations, advertising, journalism or other areas of marketing can contribute their skills to help the chapter raise concern about Alzheimer’s and awareness of the Alzheimer's Association. Opportunities include supporting outreach to media, creative production such as photography or design and writing content for social media and other platforms.
Administration
Office support:
Provide assistance with office support such a calls, letter writing, data entry, resource fact checking or office greeters.

Leadership:
Join a committee at your local chapter to help advance the full mission of the Alzheimer's Association.
Availability
Please select all the times you're willing to volunteer
Available Start Date *
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Morning
Afternoon
Evening
General amount of time available per month: *
Willing to make a commitment of: *
Some of our volunteer opportunities require some travel throughout the Chapter service area. Please indicate if you're willing to travel: *
Volunteer History/Community Involvement
Please tell us about yourself (i.e., professional background, skills and interests): *
Your answer
Briefly describe any additional volunteer or community involvement (professional, social, religious, civic, etc.): *
Your answer
Please tell us what attracted you to consider volunteering for the Alzheimer's Association: *
Your answer
What do you hope to gain from your volunteer experience? *
Your answer
Have you been impacted by Alzheimer’s or dementia? *
Please feel free to share more about your connection, if you'd like to
Your answer
Please share your website or LinkedIn profile
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Anything else you'd like to share with us?
Your answer
Language Information
Are you bi-lingual? *
What is your preferred language *
Your answer
Do you speak any other languages?
Your answer
Employment History
Please list your current or most recent employer, if applicable
Employer Name
Your answer
What is/was your position?
Your answer
Does your employer...
References
Please list three professional and/or personal (not including relatives) references with complete phone number below. References remain confidential.
Reference 1 Name *
Your answer
Reference 1 Phone Number *
Your answer
Reference 2 Name *
Your answer
Reference 2 Phone Number *
Your answer
Reference 3 Name *
Your answer
Reference 3 Phone Number *
Your answer
Emergency Contact
In the event of an emergency, whom should we notify?
First Name *
Your answer
Last Name *
Your answer
Telephone *
Your answer
Alternate phone:
Your answer
Relationship *
Your answer
Statement of Understanding
I understand and agree that submitting this application form does not automatically register me as a Alzheimer's Association volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures and a clean background check before I may begin volunteering.
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Required
Thank you for your application!





Diversity and inclusion are critical to the Alzheimer's Association, both in who we are and who we
reach. We welcome and encourage everyone to join the movement to defeat Alzheimer's
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