Apply to the Alzheimer’s Society Research Network

Your details
About you

Who is this form for?

If you have a personal experience of dementia, either as a person with dementia, a carer or a former carer (unpaid/non-professional), you are eligible to apply to become a volunteer in our Research Network

How to apply

Please complete this online application form, which includes questions about your background and your experience of dementia. It may take 10-15 minutes to complete. Please do not close the form once you have started your application as you may lose your progress. Make sure you have submitted the form before leaving.

Once we receive your application, we will contact you directly regarding the next steps.

If you cannot apply online

If you can't complete this application form online, you can email us and a member of our team should be in touch with you soon. If you haven't heard from us in three weeks, please contact the team again at [email protected]

Questions we ask and information you provide

The information you provide will be kept confidential and is used to help us to match volunteers to projects and activities that are relevant to their experience of dementia.

We also 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.

Please write your date of birth as dd/mm/yyyy

Why we are asking for your gender, preferred pronouns, and ethnicity

If you are comfortable with telling us, we would like to know which gender you identify with, your preferred pronouns, and your ethnicity.

We won't select volunteers to join the Research Network based on gender, pronoun preference, or ethnicity. However, this information can sometimes be helpful for researchers who are looking for volunteers with specific attributes. In addition, when setting up advisory panels with volunteers, we will always try to achieve a balance in representing all people.

These are non-required questions that you can skip, but we are asking in order to be representative and respectful of everyone.

How do you prefer to be addressed? For example, 'she/her', 'he/him', 'they/them', 'she/they', 'he/they' etc.
Alzheimer’s Society will need to know who to contact in the unlikely event of an emergency.

Separate from the Research Engagement team, the Alzheimer's Society Volunteering team might get in touch with you, for example, about volunteer thank-you events.

Please tell us how you would prefer to receive information from the Alzheimer's Society Volunteering team

By volunteering, you're doing something incredible to help thousands of families affected by dementia.

We'd love to keep in touch, and update you on the latest news, including the amazing work we do with our services and research, and how you can do more to help with fundraising, campaigning, or other volunteering opportunities.

It's totally up to you – you can update what you get at any time and we'll never sell your details to third parties. If we can't reach out to you for help when we need it most, our work can't continue – so please, choose to stay in touch using the boxes below and help us beat dementia.

Would you like us to stay in touch?

We promise to keep your personal details safe and will never sell your information to other charities or organisations.

Our fair processing notice explains more about how we use our supporter’s personal information and how you can update your preferences regarding how we contact you.

To request a hard copy of our fair processing notice, please email [email protected] or call 0300 222 5706.