Life Enrichment Center

1111 N. Jefferson St.

Milledgeville, GA 31061
VOLUNTEER
Phone (478) 445-5726
www.BaldwinLEC.org
APPLICATION
________________________________________________________________________________________

Title: _____________________________________ (Regular or special services*)

Name:____________________________________ Date:_____________________________________
Email:____________________________________ Phone Number:____________________________
Address:__________________________________ Emergency Contact:________________________
Number of hours expected to volunteer: _______ Emergency contact Number:_________________
Day & Time expected to volunteer: ___________________________________________________________
Class and Professor at GC&SU or GMC (if applicable)___________________________________________

What are your skills, hobbies and/or pastimes:

__________________________________________________________________________________________
List any past volunteer experiences:
__________________________________________________________________________________________
List any service projects or programs you have led:
__________________________________________________________________________________________

I would like to assist in the following:

Music Therapy Nature Explorers Visual Arts
Harmonettes Handbell Choir Lockerly Arboretum Studio Art
Harmonettes Chorus Green house project Painting
Good Vibrations Drumming Horticulture class Jewelry Making
Music in Motion Other___________________ Paper Making
Circular Motion Dancers Arts and Crafts
Morning Music Special Events & Other Printmaking
Music Club Community Music Therapy Drawing
The Jungle Royales Performances Black & White Gallery
Sing-a-longs Arts Festivals Other__________________
Other music therapy group Arts Conferences

_____________________ Art Exhibits

Special Olympics
Workshops (art, healthcare, etc.)
Other___________________

* A regular volunteer is an intern or a person who provides services within the facility to the LEC on a regular ongoing basis. A
special services volunteer provides services within the facility to the LEC infrequently (less than 6 months) or for special events.

______________________________________________ ____________________________
Volunteer Date

______________________________________________ ____________________________
Volunteer Coordinator Date