VN TeamWork VITA 2018 Registration Form
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
FULL Address *
Including city, state, and zip code.
Your answer
Home Phone
XXX-XXX-XXXX
Your answer
Work Phone
XXX-XXX-XXXX
Your answer
Cell Phone *
XXX-XXX-XXXX
Your answer
Email Address *
Your answer
Employer or School
Your answer
Position or Title
Your answer
Are you proficient in computers? *
Are you proficient in English? *
Are you a CPA? *
Are you a first-time volunteer? *
If no, how many years have you been with VITA?
Your answer
What VITA site(s) have you served?
Your answer
Name(s) of site manager(s):
Your answer
I hereby apply to become a member of the VN TeamWork - Volunteer Income Tax Assistance/Tax Counseling For The Elderly (VNTW-VITA/TCE) 2018 program by completing and submitting this form, sending in the deposit, attending and passing the test at the end of each class, and then committing to the following standards of conduct:
・ I will wear a VNTW-VITA/TCE 2018 nametag at the designated site
・ I will complete the required site hours
・ I will treat all taxpayers professionally, with courtesy and respect
・ I will safeguard the confidentiality of taxpayer information
・ I will apply the tax laws equitably and accurately to the best of my ability
・ I will only prepare Income Tax returns within the scope of my training and experience
・ I will exercise reasonable care in the use and protection of equipment and supplies
・ I will not solicit business from taxpayers I assist
・ I will not accept payment for the service I provide
To ensure in keeping the quality of service, we would like to request your deposit of $100 ($50 for students) as a new volunteer to secure your training and service.
1. A full refund will be given only at the end of the program period in April 28, 2018 at the Volunteer Appreciation Luncheon, if you attend all the training classes, pass the test, and complete the required service hours.

2. The deposit does not apply to instructors, site managers, assistant site managers, and returning volunteers.

Please note:
Please make sure you use the same personal data throughout this program, where indicated with the asterick (*) such as your full name, address, home phone number, and email, since this data will identify you throughout this program for years to come.

We are asking for this information to assist us in contacting you regarding your interest and/or participation in the VNTW-VITA/TCE 2018 program. The information you provide may be furnished to others who coordinate activities and staffing at volunteer return preparation sites or outreach activities. The information may also be used to establish effective control, send correspondence, and recognize volunteers. Your response is voluntary. However, if you do not provide requested information, we may not be able to use your assistance in this program.

After submitting this form, please make your deposit check payable to VN TeamWork and send to:
VN TeamWork
11210 Bellaire Blvd., Suite 118
Houston, TX 77072
By submitting this form, you have read and understand the requirements of this program. Thank you for your cooperation.
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