Join Alzheimer's Society's Councillor Network

Thank you for your interest in the Alzheimer's Society Councillor Network.

Please complete this short form to join our network.

First name (required)

Surname (required)

Name of council/local authority you represent (required)

Council type

Borough Council (required)

City Council (required)

County Council (required)

District Council (required)

London Borough Council (required)

Metropolitan Borough Council (required)

Unitary Authority (required)

Email address (required)

Which political party do you represent? (required)

Useful links