Greater Cincinnati Alzheimer's Association Volunteer Application

 

Basic Information

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What's this?

 

 

Work Experience: 
(Include what you feel is helpful for us to know about you.) 

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Volunteer Experience:

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General Questions

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Please Check the Following as they Apply

 

In which areas are you interested in volunteering?

 
Question - Not Required - Administration/Organization

 
Question - Not Required - Outreach

 
Question - Not Required - Memories in the Making (an art program for individuals with memory loss).

 
Question - Not Required - Special Events/Development Volunteer

 
Question - Not Required - WALK TO END ALZHEIMER'S (Sept/Oct)

 
Question - Not Required - Other Events

 

 

Availability

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Question - Not Required - Specific Notes

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Reasonable Accomodations/Limitations/Restrictions

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Emergency Contact/ Medical Issues

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References
Please list two personal references

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