Volunteers are the cornerstone of our organization and are vital to raising awareness in the communities in which they live and work. Our team is made up of volunteers throughout the country who give their time and expertise to help support the fight against Lewy body dementias. The 1.4 million people in the U.S. who are living with LBD need your help!

*All starred items are required
Tell Us About Yourself

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your preferred name?

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* 4. What is your email address?

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* 5. What is your preferred phone number?

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* 6. Preferred phone number type:

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* 7. Please provide an alternative phone number, if desired.

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* 8. Alternative phone number type:

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* 9. What is your mailing address?

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* 10. What is your personal or professional connection to Lewy body dementia?

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* 11. Which of following activities would you be interested in (Please check all that apply)?

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* 12. If you are working, please tell us your place of employment.

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* 13. Do you have professional experience or skills that may be relevant to your volunteer interests?

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* 14. Please list any personal skills, qualities, or additional experiences you have that would be useful in advancing LBDA's mission.

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* 15. Why do you want to volunteer with LBDA?

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* 16. What do you hope to gain from your volunteer experience with LBDA?

Demographics

LBDA is committed to diversity, equity, and inclusion in research and increasing access to clinical care and support for all.

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* 17. What is your race/ethnicity?

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* 18. What is your gender?

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* 19. What is your primary language?

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* 20. What (if any) languages other than English do you speak fluently or
conversationally?

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* 21. What is your highest completed level of education (no level of education or professional experience is necessary to be an LBDA volunteer)?

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* 22. In what type of community do you reside?

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* 23. What is your age?

We appreciate your interest and we look forward to sharing opportunities with you to get involved in the future!  We will review your responses and contact you within two weeks.

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