Midland College

Midland College's Legacy Scholarship Program
Agency Volunteer Site Update Form

Only update necessary fields

Contact Information

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

Organization's Mission Statement

Job Duties (please list as specific as possible)

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