CHANGE AGENT CONNECT FORM
Use the form to the right to connect with your Brain Keeper Team Coach. As quickly as possible, a Coach will review the information you submit and connect back to answer your questions or help in any way they can.
We thank you for all your hard work as a Community Change Agent. Please know that your efforts truly make a difference and that because of you, the future of Alzheimer’s in America is looking brighter every day!
If you are NOT already a Community Change Agent, CLICK HERE to learn how you can become one.
THE NHBK TEAM REPORT FORM
Use the form to the left to report your activity as a Community Change Agent.
This information is used to track how well we are doing at fulfilling our mission. It also gives us particular focus to the level of success we are having at reaching the Underserved Communities throughout America.
We thank you for all your hard work as a Community Change Agent. Please know that your efforts truly make a difference and that because of you, the future of Alzheimer’s in America is looking brighter each and every day!