Name:
Age:
Address:
Telephone:
Mobile:
Email:

What is the basic reason for joining this volunteer program?

(Tick the option that suites you best, you can choose the multiple options as well)
To support Alzheimer’s PakistanTo learn about DementiaFor gaining experienceTo become an active contributorTo help me get into paid employmentVolunteering is a tradition in my familyAny other reason:

What would be your preferable way to get involved in this volunteer program?

(Tick the option that suites you best, you can choose the multiple options as well)
By making at least five volunteersBy organizing fundraising and donation collecting eventsBy sponsoring a patient for Rs. 2000 per monthBy organizing awareness events. (seminars, camps, walks, etc)By putting up poster on shops, distributing awareness material and placing donation boxes at different locationsBy helping in the establishment of new branches in other citiesAny other way by which you can help Alzheimer’s Pakistan?