Office Volunteer Application Form
Name: * Apt:
Address: * Postal Code: *
Home Phone: Work Phone:
Fax: E-mail: *
1. Please indicate which volunteer opportunities you would be interested in:
a) Photocopying, mailings, and answering phones
b) Data entry on a computer
2. We are looking for a minimum commitment of four months. The number of hours will vary depending on the volunteer assignment.

If you're interested in helping in the office, please indicate the times when you are available for volunteering:
  Monday Tuesday Wednesday Thursday Friday
Morning
Afternoon
If you're interested in any other opportunities, please indicate the times when you are available for volunteering:
3. How much time would you be able to commit to volunteering?
Hours Per Week  Hours Per Month 
When Needed Other (Please Specify)
4. Have you ever had experience with Alzheimer Disease or a person with Alzheimer Disease? If yes, please describe:
5. Have you volunteered with other community organizations? If yes, please describe:
6. What would you like to accomplish as a volunteer for the Society?
7. How did you hear about the volunteer opportunities?
a) Internet
b) Through a friend
c) Newspaper
d) Radio
e) Television
f) Volunteer Center of Durham Region
g) Other (Please describe)
8. References (other than family members)
Name: * Name: *
Address: * Address *
Telephone: * Telephone: *
Relationship: * Relationship: *
I give permission to the Society to contact my references:
Yes    No
Please note: All volunteers are required to sign a confidentiality form at their initial interview.
(* denotes required field)

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Testimonials

"I find support group meetings so helpful; I do not know what I would do without them."

"I find staff at the Alzheimer Society of Durham Region very helpful and they still call to see how I am doing even though my husband is in the final stages of the disease."

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Fundraising Events

Throughout the year, the Society hosts several special events to raise funds for support and education programs. Donations/pledges for the individual events can be made online by clicking on the DONATE icon at the top of the webpage.

Upcoming Events

  • Walk for Memories
  • Chocolate Lovers' Luncheon
  • Perk Up Your Coffee Break
  • Wine Tasting Event
  • Durham North Forget Me Not Walk
  • Host an Event of Your Own!

more events

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