Alzheimer's Disease and Related Conditions Advisory Committee Application
For Those With Lived Experience

The Alzheimer’s Disease and Related Conditions Advisory Committee (ADRCAC) provides advice and assistance on programs and priorities of persons impacted by Alzheimer’s disease and related conditions. ADRCAC members represent individuals who have been diagnosed with Alzheimer’s disease or a related condition, family members, providers, and advocates. For more information, please see the ADRCAC website.

The ADRCAC is recruiting two individuals who have been diagnosed with Alzheimer’s disease or dementia to serve on the ADRCAC committee.

REASONABLE ACCOMMODATIONS: If you require a disability-related accommodation, materials in alternate format or auxiliary aids/services, or translation services to complete this application, please email Engage@aging.ca.gov or call (916) 419-7500.
1.Name:(Required.)
2.ADRCAC members must live in California. Do you currently reside in the state of California?(Required.)