Welcome to St. Joseph Mercy Ann Arbor and Livingston Volunteer Services.

Healing Arts Application

Application date
Personal Information
First Name
Last Name
Address
City
State
Zip/postal
E-mail
Phone Number (Best)
DOB
Volunteer Interest
Program Assistant
Lobby Performance
Patient Care Area Performance (additional health screening will be required)
Have you ever volunteered with the Healing Arts Program or with Volunteer Services?
Yes
No
For current Healing Arts Musicians please indicate what date(s) and time(s) you wish to perform next and your application will be complete. Someone will contact you shortly.
9-4
Monday
Tuesday
Wednesday
Thursday
Other
For Musicians/ Artists new to the Healing Arts Progam
Community Affilation
Church
University
Studio
Youth Group
Details
Biographical Information (Please check all that apply)
Professional Musician
Teacher/ Professor
Other
Names and age range of group members
Date(s) and time(s) you wish to perform
9-4
Monday
Tuesday
Wednesday
Thursday
What kind of art form do you wish to offer?
Music
Details
Theater
Dance
Reason for volunteering
Professional outreach (schools, studios, institutions)
Other
Would you like to be called to volunteer for special events?
No
Yes
I understand I should not perfrom if I have had a cough and/ or fever for the last 3 days.
Applicant Signature:
Date: