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Directory Results for Medina Independent School District Vacation Leave Request Teacher: Date of Request: Dates Requested: Approved Not Approved Reason(s) (if not approved): Approved By: Please complete this and submit it at least 7 calendar days prior to to Medina Independent School District VOLUNTEER APPLICATION Name Date of Birth Address Home Phone Cell Phone Email Address: Emergency Contact Phone# Personal References: (Not related to you) Name Relationship Phone Number 1 - classroom - - - -

Medina Independent School District Vacation Leave Request Teacher: Date of Request: Dates Requested: Approved Not Approved Reason(s) (if not approved): Approved By: Please complete this and submit it at least 7 calendar days prior to
Medina Independent School District VOLUNTEER APPLICATION Name Date of Birth Address Home Phone Cell Phone Email Address: Emergency Contact Phone# Personal References: (Not related to you) Name Relationship Phone Number 1 - classroom - - - -