Caregiver Support Series "*" indicates required fields What type of dementia has your loved one been diagnosed with?* Alzheimer’s Disease Vascular Dementia Lewy Body Dementia Frontotemporal Dementia Mixed Other Unknown Enter required information below.* First Last Email* Phone*Residence County*BentonWashingtonMadisonBaxterBooneCarrollIzardMarionNewtonSearcyStoneotherGender*MaleFemaleOtherRace*African-AmericanAmerican IndianAsian/Pacific IslanderCaucasianHispanicMiddle EasternOtherProfession*Public/CommunityDieticianMedical StudentNursingNursing Home AdministrationParaprofessionalPatientPhysical TherapyPhysicianResidentSocial WorkStudentHow did you learn of this program?My Center on Aging (the Schmieding Center)FacebookWebsiteWord of MouthMy Healthcare Provider (e.g., doctor, nurse, etc.)OtherHow did you learn about this program?Registration for*(WEDNESDAYS ONLY. Choose a series to attend) Aug 5 to Aug 26, 2026 from 2:00pm to 4:00pm Oct 14 to Nov 4, 2026 from 2:00pm to 4:00pm Feb 3 to Feb 24, 2027 from 2:00pm to 4:00pm May 5 to May 26, 2027 from 2:00pm to 4:00pm This field is hidden when viewing the formI consent, per above terms, to the use of my image by UAMS for program and event promotion* Yes No SCSHE This field is hidden when viewing the formI want to receive email notice about other Schmieding Center events* Yes No SCSHE This field is hidden when viewing the formMy knowledge about caregiving is* Excellent Good Fair Poor SCSHE This field is hidden when viewing the formMy understanding of dementia is* Excellent Good Fair Poor SCSHE This field is hidden when viewing the formMy confidence in being a caregiver is* Excellent Good Fair Poor SCSHE This field is hidden when viewing the formMy understanding of where to find help and resources is* Excellent Good Fair Poor SCSHE This field is hidden when viewing the formComments(Why did you register, benefits you anticipate, etc.)
