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Volunteer Application Form
Title
First Name
Last Name
Email
Phone
A bit about you
Date of Birth
Street Address
Street Address Line 2
City
Post Code
Do you drive and have access to a car?
Yes
No
Would you be interested in helping members get to their group by giving them lifts?
Yes
No
Do you have any support needs as a volunteer?
Yes
No
Let us know how we can support you
Volunteering Interests
Which role are you applying for?
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Which group(s) would you like to apply for?
Monday - Moss Side
Monday - Fab Forgetful Friends
Tuesday - Wythenshawe
Wednesday - Walk & Talk at Alexandra Park
Wednesday - Longsight
Thursday - Pyaari Yaadein at Amani Centre
Thursday - South Manchester
Friday - Trafford
Friday - North Manchester (Crumpsall)
Would you be interested in volunteering at any of our monthly Dementia Cafés?
Beswick Dementia Café
Oaklands Dementia Café
Wythenshawe Dementia Café
None
Which service would you like to volunteer with?
Fundraising
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