VITA Volunteer Online Form

Personal Information:
* First Name:
Middle Initial:
* Last Name:
* Address:
* City:
* State:
* Zip Code:
Phone Number:
Cell Number:
* Email:
Employment Information:
Employers Name:
Employers Address:
Employers City:
Employers State:
Employers Zip Code:
Employers Phone Number:
* Where do you prefer to be contacted: Home    Cell    Work
* Have you ever prepared an Income Tax Return: Yes    No
* Do you prepared your own Income Tax Returns: Yes    No
* Do you agree to make this pledge: Yes    No
* Electronic Signature:
* Date:
* = Required