Get in touch to influence our work

If you are interested in getting involved or want more information, please complete the form below so we can get in touch with you.

 

We ask for your details in order to contact you, keep you up-to-date and send further information.

 

To find out more about how we use your personal information, please read our supporter privacy statement.

 

Address
What opportunities are you interested in? (tick as many as you wish)
(e.g. you could be interested in any of the below opportunities)
(e.g. radio, newspaper, TV interviews)
(e.g. activities to push government to make changes, such as petitions)
(e.g. activities to increase understanding of dementia in the general public and businesses)
(e.g. take part in training staff)
(e.g. talking about your experiences at conferences and community events)
(e.g. help recruit staff)
(e.g. helping your local coffee shops and services become more inclusive)
(e.g. share what research projects are important)
(e.g. meeting people who want to raise money for Alzheimer's Society)
(e.g. helping to test and develop products)
(e.g. giving your thoughts about what's good and what might be improved)
(e.g. giving feedback on our online services or phone apps)
(e.g. have your say from the comfort of your armchair on things of interest to you)
(e.g. give your responses to surveys or discussion topics without having to travel or be able to write or type responses)
What type of activities are you interested in doing? (tick as many as you wish)

The information you’ve given us will only be used to contact you about your opportunities to influence our work. We will not use your story or pass the details recorded in this form, or provided to us at a later date, to any other organisation without your permission.

To find out more about how we use your personal information, please take a look at our supporter privacy statement.