Alzheimer Society of Muskoka Volunteer Application Survey

1.Please enter your contact information:(Required.)

Full Name

Address

City/Town

Province

Postal Code

Country

Email Address

Phone Number

2.What is your preferred way of contact?

By email

By phone

No preference

3.Are you fluent in any languages other than English? If so, please advise which languages.

4.How did you learn about the Alzheimer Society of Muskoka?

Internet (website, social media, etc.)

Media (TV, radio, newspaper, etc.)

Friend/family/colleague

At an event

Other (please specify)