VITA
New Volunteer Application
20XX Tax Season
Name:
Please fax or mail completed form to:
An address
Somewhere
_____________________________________________________________________________________
First Name
M.I.
Last Name
Occupation:
_____________________________________________________________________________________
Employer:
_____________________________________________________________________________________
Name
_____________________________________________________________________________________
Address
_____________________________________________________________________________________
City
Telephone:
State
Zip Code
Daytime (
)______________________ext._____
Evening (
)______________________________
Fax (
)______________________________
E-Mail:
_____________________________________________________________________________________
Work
Home
Home Address: _____________________________________________________________________________________
Street
Apt. No.
_____________________________________________________________________________________
City
Where do you prefer to be contacted?
State
Work
Home
Zip Code
Either
Site (if applicable): ____________________________________________________________________________________
If currently a student, please list name of college, university, or high school____________________________________
I speak a foreign language: _________________________________________
_______ I am a CPA and would like to earn CEUs.
Have you ever prepared income tax returns for others?
If yes, how many years? _________
Yes
No
Do you prepare your own income tax returns?
Yes
No
_______ I want to help the project, but do not want to prepare tax returns. Call me with information on other volunteer opportunities.
Name and contact information of friend, company, or organization that may be interested in helping:
_____________________________________________________________________________________________________
How did you hear about this volunteer opportunity? __________________________________________________________
Volunteer Pledge of Confidentiality and Service:
As a volunteer tax preparer, I pledge not to divulge, distribute or make public any client’s personal or financial
information. By signing this form I commit to serving as a volunteer with VITA for no less than 6 weeks.
________________________________________
Signature