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Volunteer Application
Thank you for your interest in becoming a volunteer with the Alzheimer Society of Muskoka.
This application will take approximately 5 minutes to complete.
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1.
What is your first and last name?
(Required.)
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2.
Where are you located?
(Required.)
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3.
What is the best phone number to reach you at during the day?
(Required.)
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4.
What is the best email address to reach you at during the day?
(Required.)
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5.
How did you learn about the Alzheimer Society of Muskoka?
(Required.)
Internet (website, social media, etc.)
Media (TV, radio, newspaper, etc.)
Friend/family/colleague
At an event
Other (please specify)
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6.
Why would you like to volunteer for the Alzheimer Society of Muskoka? (check all that apply)
(Required.)
To apply skills
To develop skills
To gain experience
To meet new people
To support the cause
Other (please specify)
7.
Are you fluent in any languages other than English? If so, please advise which languages.
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8.
Please indicate the areas you're interested in getting involved as a volunteer for.
(Required.)
In-Home Recreation Program
Minds-In-Motion Program
Support Group Facilitation
Special Event Coordination
Office Administration
Social Media
Fundraising
Other (please specify)
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9.
Please indicate what days and times you are available to volunteer.
(Required.)
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10.
Please indicate the length of your commitment.
(Required.)
Less than 3 months
3 - 6 months
6 - 12 months
Ongoing
One-time
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11.
Please submit two references, your relationship, and their daytime phone number below. By clicking submit, you give the Alzheimer Society of Muskoka permission to contact your references and consent to your information being collected and stored for the purposes of Volunteer Engagement.
(Required.)
