Contact Us Find Us Main Location 225 Roswell Street, Alpharetta, GA 30009 Get Directions Crabapple Location 12624 Broadwell Road, Alpharetta, GA 30004 Get Directions Contact Us 678.691.7922 lionheartworks@lionheartlifecenter.com Fax 770.772.1871 Phone Parent/Person Inquiring Section Please complete the form below so that we may be able to contact you and provide you with additional information. Last Name First Name Email Phone I am interested in... * – Please choose – Applying for Lionheart WORKS Applying for WORKS Summer 2021 Becoming a community partner/worksite Becoming a Job Coach Becoming a supporter of our non-profit Other If you are interested in joining The Lionheart WORKS Program, please fill out the Participant Information Section below. Participant Information Please complete the form below so that we may be able to contact you and provide you with additional information. Last Name First Name Age Birthday Diagnosis IEP/CBI County Past School/Program History Present School/Program Academic Grade/Level Communication Skills Accommodations Needed Work interests and any work experience GVRA Yes No Counselor NOW/COMP Yes No Support Coordinator
