Volunteer Ambassador Application Form

Volunteer registration form

  • Keeping you updated

  • Your personal details will be treated as confidential and kept for no longer than necessary. If your application is accepted the information you provide on this form will become part of your volunteer records which will be used to plan and record your involvement as a volunteer.
  • If you would like to change how you are contacted by us, simply contact our Supporter care team 0300 365 5500 or email at supportercare@dementiauk.org
  • For further information about how we protect and use your data please see our privacy policy at www.dementiauk.org/privacypolicy.
  • Skills and Availability

  • Max 1000 characters
  • Max 1000 characters
  • Max 1000 characters
  • References

    Please provide details of two referees. Your referee can be a friend, colleague or neighbor but not a family member. Each referee should be willing to provide us with a reference and should have known you for at least twelve months.
  • Referee 1

  • Referee 2

  • Additional Information

  • This field is for validation purposes and should be left unchanged.