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M-2 Volunteer Application
Your responses to these questions are required to enter into the M-2 Program.
Contact Information
Name
*
First Name
Last Name
Phone
*
Personal Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Date of Birth
*
(mm/dd/yyyy)
Gender
*
select one
Female
Male
Non-Binary
Other
Marital status
*
select one
Single
Married
Separated
Divorced
Widow/Widower
Languages other than English
Education
*
If currently a college student, where?
IF you regularly attend a church -
please list your congregation and the city/state
IF you listed a church -
what is your church's denomination?
Emergency Contact
Name
*
First Name
Last Name
Phone
*
Relationship
*
Personal Interests Section
Please list items in the categories that are important to you. Your responses will help with the matching process with an inmate
Hobbies
what Hobbies do you enjoy participating in?
Sports
IF you enjoy Sports, what do enjoy participating in and/or watching
Reading
IF you enjoy Reading, what type(s) of Reading do you enjoy?
Community activities
IF you are involved in Community activities, what activity(ies) do you enjoy?
Other
Visit time/facility Preference
All visits are 1x/month at the Hutchinson Correctional Facility in either - maximum security (Central Unit) - medium security (East Unit) - or minimum security (South Unit). Visits last approximately 90 minutes at each.
Check the time and place you would like to visit. If you check more than one option, we will place you where most needed.
*
Central Unit (Tuesday). Arrive at 6:50 pm; visit at 7:30 pm // East Unit (Thursday). Arrive at 6:45 pm; visit at 7:15 pm // South Unit (Thursday). Arrive at 7:00 pm; visit at 7:15 pm
HCF Central Unit - 1st Tuesday
HCF Central Unit - 3rd Tuesday
HCF East Unit - 4th Thursday
HCF South Unit - 4th Thursday
Special Needs
If you have any special needs such as handicap accessibility, please indicate here
Committment
By submitting this form I agree to visit my M-2 match once a month
*
Agree
Disagree
