Volunteer Application Form

Lanark-Leeds-Grenville

 

How did you learn about the Alzheimer Society?
Languages Spoken
Languages Written
Preferred contact

Please note not all opportunities are available at all Societies:

Monday
Tuesday
Wednesday
Thursday
Friday

Please be advised, should you be selected as a volunteer with the Alzheimer Society you will be required to provide personal character references and, where applicable a police check.

Signature
Parent/Guardian Signature
Please note: A parent /guardian must also sign for volunteers under 18 years of age.