New account

Before you can enrol in the Dementia Friendly Communities course, please complete the form below to create your ALZeducate account.

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Username

Password

The password must have at least 6 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s)

Email address Required field

Email (again) Required field

First name Required field

Surname

I give my permission to be contacted by an Alzheimer Society staff member to learn more about dementia-friendly communities

City/town

State/Province Required field

Country

Dementia Care Role Required field

Service Sector Required field

Service Sector Position Required field

Health Care Provider Required field

First Responder Role Required field

Primary Field of Employment Required field

Name of Employer

What is your reason for taking this course?

Required fields in this form are marked