Welcome! Thank you for your interest in volunteering!

The Alzheimer Society of Windsor & Essex County is a non-profit organization that assists with the needs of clients and caregivers living with Alzheimer's disease or other dementias.  Our volunteers support our various programs and events throughout the year.   
Please complete the following volunteer application to submit your interest with our organization.

Please Note: Our volunteer opportunities may require a vulnerable sector police clearance or a TB skin test.  If this is the case, we will follow up with further instructions and will reimburse associated costs. 

ASWE collaborates with our local community to foster excellence in services, education and to support research— ASWE also collaborates with various
Alzheimer Societies across the province. To alleviate personal and social consequences with Alzheimer's disease and other dementias.

We believe in a world without Alzheimer’s disease and other dementias. 

What's your email address?

Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
Birthdate *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Alzheimer Society of Windsor and Essex County will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Address *
If applicable, please tell us the name of your school or organization:
Emergency Contact Name:
Emergency Contact Phone Number:
Emergency Contact Relationship:
Have you volunteered with us before? Please describe your past volunteer experience with our organization or any organizations:
Have you completed a recent TB Skin Test? *
Do you have a Vulnerable Sector Police Clearance?
Why do you want to volunteer with the Alzheimer Society of Windsor -Essex County?
Let us know if you are seeking a specific volunteer position:




Tell us about the volunteer experience you would like to have with our organization including your availability, skills or interests:
Do you any specific qualifications or education that would support your volunteer request:
Have you completed any courses or education in dementia or dementia-friendly communities? Select all that apply:






How did you find out about volunteering?





Is there anything else you'd like to share to support your volunteer application?

Waiver

PARTICIPANT RELEASE AND WAIVER

In consideration of the Alzheimer Society permitting me to participate in this event, I hereby, for myself, executors, administration and personal representatives, release the organizers of this event, their agents and volunteers, the event sponsors, and the Alzheimer Society from all liability claims of any kind whatsoever that I might have for personal injuries or property losses suffered by participation in this event. I certify I have full knowledge of the risks involved in this event, that I am physically fit and able to participate, and unless indicated to the contrary by the signature of the guardian below, I am 18 years or older.

By giving the Alzheimer Society permission to use my name and photo in media promotional materials I am helping to build awareness that will bring the Society closer to its vision of a world without Alzheimer’s disease and dementias. Photos and videos from the Walk may also be used to help the Society promote the event in flyers, brochures, and other materials.