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Dear Prospective Volunteer, Thank you for your interest in ...

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Personal References (cont<strong>in</strong>ued)<br />

Name:<br />

Phone 1:<br />

Phone 2:<br />

E‐Mail Address:<br />

Relationship:<br />

Name:<br />

Phone 1:<br />

Phone 2:<br />

E‐Mail Address:<br />

Relationship:<br />

Name:<br />

Phone 1:<br />

Phone 2:<br />

E‐Mail Address:<br />

Relationship:<br />

Mentor Applicants Only<br />

Please describe the age and gender of a student <strong>you</strong> would like to work with:<br />

Are <strong>you</strong> will<strong>in</strong>g to commit to spend<strong>in</strong>g at least one calendar year <strong>in</strong> a mentor<strong>in</strong>g relationship with a<br />

<strong>you</strong>th from the Methodist Children’s Home? Yes No<br />

If no, please expla<strong>in</strong>:<br />

Please send <strong>you</strong>r completed application by mail, e‐mail or fax to:<br />

Katie Wolfe, MSW<br />

<strong>Volunteer</strong> Services Coord<strong>in</strong>ator<br />

1111 Herr<strong>in</strong>g Ave<br />

Waco, TX 76708<br />

kwolfe@mchwaco.org<br />

Fax: 254.750.1300

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