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610-563-5850/ laura@mentorsmatter.org mailing address: 551 Calvary Road, Nottingham, PA 19362
Hello, I am a teen involved with Mentors Matter. In Mentors Matter we want to give back to the community by doing acts of kindness, help where we are needed or area clean-up as a Community Outreach effort through Mentors Matter. Please list below a contact name and number where our Community Outreach Coordinator-Terry Burkey can call to confirm my service. Thank You.
Date of Service __________________
Name of Mentors Matter Teen: _____________________________________
Name of Person/Agency where Service was performed: ___________________________________________
Signature: _________________________________
Time Spent:__________________
Phone: _______________________E-Mail:____________________________
Address: ____________________________________________________________________________________________________________________________ Description of Service given or tasks completed: ____________________________________________________________________________________________________________________________ Please list any additional comments: __________________________________________________________________________________________________________________________________________________________________________________________
Teens, please send in your forms to: Community Outreach Coordinator- Terry Burkey 748 County Line Rd. Gap, PA 17527
Thank you on behalf of Mentors Matter. |