Volunteer Income Tax Assistance Application
First Name
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
E-Mail:
Your answer
Telephone: Cell:
Your answer
Telephone: Home:
Your answer
Telephone: Work
Your answer
Please list any languages that you may speak:
Your answer
Are you a U.S. Citizen or Legal Resident?
Required
Have you engaged (past or future) in criminal, infamous, dishonest, or notoriously disgraceful conduct, or any other conduct predjudicial to the government?
Required
Education: Years of College
I am an EA or Other Tax Preparer and would like to earn CEUs:
Have you ever prepared income tax returns for others?
If yes, how many years?
Your answer
Do you prepare your own income tax return?
Would you be interested in being a?
Are you a returning VITA Volunteer?
If yes, Please indicate the VITA site where you have volunteered?
What Hours am I available to Work?
Monday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Tuesday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Wednesday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Thursday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Friday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Saturday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
Total number of hours available to work per week?
Your answer
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