Please print and return this form to:  Ann de Selding, Lyme Academy College of Fine Arts, 84 Lyme Street, Old Lyme, CT  06371 or call 860-434-3571, ext. 117 to set up an appointment.  Thank you.

Lyme Academy College of Fine Arts

 

VOLUNTEER APPLICATION

 

 

                                                        Contact Information

 

Name  _______________________________________________________________________

 

Street Address  ________________________________________________________________

 

City, State, Zip  _______________________________________________________________

 

Home Phone  _________________________________________________________________

 

Work Phone__________________________________________________________________

 

E-Mail Address  _______________________________________________________________

 

In Emergency Notify (name & phone) _____________________________________________

 

Availability Days/Hours

 

Monday      am_______  pm_______                          Thursday    am_______ pm________

 

Tuesday      am________pm______                            Friday       am________pm________

                                                                                               

Wednesday am_______  pm_______                          Other   _______________________                               

  

Area(s) of Interest

 

Please check any of the following that may be of interest:

 

Receptions and/or Special Events  _______

Landscaping and Gardens_______

General Administrative Services_______

College Art Store_______

Library _______

Academic Center Reception Desk _________

 

Special Skills, Qualifications or Interests