HOME VOLUNTEER PROGRAM A companion for a person with Alzheimer’s VOLUNTEER INFORMATION SHEET Name Mailing Address Email Phone Number Languages you speak other than English Highest education completed: Emergency Contact Are you a(n) [INSERT, i.e., physician or social worker]? yes no Do you have any background in [INSERT, i.e., dementia]? yes no If so, what areas are you versed in? What days and times are you available to volunteer? Send
