Midland College

Midland College's Legacy Scholarship Program
Agency Volunteer Site Application

Contact Information

  Agency Name
  Volunteer Contact
  Volunteer Contact E-mail
  Executive Director
  Executive Director E-mail
  Street Address
  Mailing Address
  City, State, Zip Code
  Phone
  Website
  Approved to sign off on hours


Please explain why you would like the above agency to be a volunteer site for student volunteers


Organization's Mission Statement

Volunteer Service Opportunities for Legacy Scholarship Candidates
The desired goal for the Legacy Scholarship candidate is to receive a quality community service experience ~ to strive to provide volunteer opportunities which will “touch their hearts about the needs of others”.  Please keep these goals in mind when deciding on job duties and assignments.

Please attach, mail, or fax your IRS Determination Letter stating that your agency is an autonomous 501(c)(3) organization.
(PDF format preferred)
or, send by mail to:
Julia Vickery, Coordinator
Student Development/Students in Philanthropy
Midland College, 3600 N. Garfield
Midland, Texas 79705

or, fax to:
432-685-4623, attention: Julia Vickery, Coordinator Student Development/Students in Philanthropy

Job Duties (please list as specific as possible)

  Administration Process
Y/N
Staff Responsible - Name / Title
  Specific Requirements for Students /
  Volunteer Job Descriptions provided? /
  Volunteer Application required? /
  Volunteer Orientation provided? /
  Volunteer Training provided? /
  Volunteer Supervision provided? /
  Volunteer Documentation provided? /
  Volunteer Recognition provided? /

How will this opportunity impact the student volunteers?

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