Nebraska Chapter Home > - Volunteer > Create Your Volunteer Profile

Create Your Volunteer Profile

Thank you for your interest in volunteering with us! Please complete the two steps below to get started.


 

Step 1: Watch the Volunteer Orientation This 20 minute video introduces you to the Alzheimer's Association, Nebraska Chapter, and covers the important role volunteers play in our mission. It may help with deciding which of your skills and interests you would like to put into action in your volunteer role.

 

 


 

Step 2: Complete the Volunteer Application Tell us about your skills and interests. After completing the form, we will contact you so we can work together to determine the role that best suits your needs.

 

Prefer to fill out a paper form? Click here to download and print the paper application.

 
Contact Information
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If you already have a record in our system, please to prepopulate your information.

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City/State/ZIP:

 

    

 

 

 

What's this?

 
Question - Not Required - Phone Type



 
Emergency Contact
   


   


   


 
Tell Us About Yourself
 
Question - Not Required - What adjectives would you use to describe yourself? (check all that apply)

   


 
Question - Not Required - Which skills can you see yourself putting into action during your time with us? (check all that apply)

 

(Maximum response 255 chars, approx. 5 rows of text)

 

 

 

   


 
Interests
 
Question - Not Required - In which areas are you interested in volunteering? (check all that apply)

 
Availability

We appreciate any length of service you can commit to.

 
Question - Not Required - When can you volunteer? (check all that apply)

 

Please finish this sentence:  

 

(Maximum response 255 chars, approx. 5 rows of text)

 

 
Assumption of Risk, Release and Permission

I am willing to be trained, supervised, and reviewed by the Alzheimer's Association. I understand that I will be expected to fulfill my commitments, including attendance at training sessions when needed. I hereby expressly assume all risks of personal injury, death or property loss arising in any way out of my participation.  I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue Alzheimer’s Association, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in or attendance at events and related activities – whether resulting from the negligence of any of the above or from any other cause. I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this agreement is held invalid, the remainder shall continue in full force and effect. I grant full permission in perpetuity to the organizers to use, reuse, publish and republish my name and image as a participant in photographs, video or other recordings. I have read, understand and agree to the terms of this agreement. By selecting and initialing below, I acknowledge that I have read, understand, and agree to the complete Volunteer Waiver.

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Question - Required - Agreement

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Volunteer Agreement

All volunteers are expected to:

  • demonstrate a positive, willing attitude in regard to  the work and the interactions with others.
  • dress appropriately (neatly and cleanly) for their assigned area.
  • maintain the confidentiality of Alzheimer’s Association and its clients.
  • be present and on time for the shift(s) he or she is assigned and to contact their supervisor prior to their shift if they will be late and/or unable to work.
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