Volunteer

Name *

Title *

DR
MR
MRS
MS

Email *

Age Category *

18 – 25
26 – 65
65+

Personal background *

Profession ((Speech therapist, student, Occupational therapist, physio, caregiver etc)

How do you hope to support Aphasia Project Ghana.

Raise awareness(sharing APG’s posts on social media etc)
Design information materials to educate healthcare professionals and the community
Design resources for use in clinic
To engage in training activities
To engage in research

Availablilty *

Monday
February
Wednesday
Thursday
Friday
Saturday
Sunday

Kindly indicate time you will be available (if applicable) *

Other useful information/comments/suggestions (optional)

Terms and Agreement *

I understand and agree to the terms.
In checking the box above, you agree and confirm that all reports are true and accurate.

In checking the box above, you agree and confirm that all community service reports are true and accurate. You acknowledge that your service advisor may reach out to you to confirm your participation.

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