- Select - Male
Emergency Contact Phone Number
Highest Level of Education
- Select - No Degree
Please list any languages, other than English, that you are comfortable speaking
Do you have tax preparation experience?
- Select - Yes No
Please select the day(s), location(s), and time(s) you prefer to volunteer (check all that apply)
- Select - Kenosha Job Center, Tuesday Evenings 5pm-9pm, FEBRUARY TO APRIL
Kenosha Job Center, Saturday Mornings, 8am-12pm, FEBRUARY TO APRIL
Kenosha Northside Library, Thursday Mornings, 9am-12pm, FEBRUARY ONLY
Twin Lakes Library, Thursday Evenings, 4pm-8pm, FEBRUARY ONLY
TruStone Credit Union, Thursday Mornings, 9am-noon, MARCH ONLY
Salem Community Library, Thursday Evenings, 4pm-8pm, MARCH ONLY
Please select the volunteer position you would prefer to have (check all that apply)
- Select - Greeter
Bi-Lingual Interpreter - does not prepare tax returns, is there to assist with communication between tax preparer and client
Are you a new or returning volunteer?
- Select - New
If you are a new volunteer for tax preparation, training is required. Select the type of training you would prefer
- Select - I would prefer to independently complete online training by January 21, 2020 and will provide the certificate to United Way
I would like to be contacted for in-person training
How did you hear about us?
- Select - Newspaper
Returning VITA Volunteer
Place of Employment
Direct Marketing (email, pamphlet, flyer posted, United Way staff, etc.)
- Select - In checking this box, I agree to the above statement
Release of Likeness
United Way of Kenosha County may take photographs or videos of participants, individually or in groups, attending or taking part in United Way programs and activities. These images, in original or modified form, may appear in future United Way publications and/or publicity, including print, web and video productions. Anyone who attends or participates in a United-Way-hosted event or activity authorizes the use and reproduction of any photographs taken during the event, without compensation by United Way. The opportunity or right to inspect or approve any such images or recordings is waived. If an individual does not wish to be photographed or videotaped, the person must notify the United Way staff to that effect. Permission for usage is assumed for any photographs submitted to United Way by an individual or organization. All images and files shall constitute United Way property, solely and completely.
- Select - I consent to the Release of Likeness I do not consent to the Release of Likeness
I authorize the investigation of all statements contained herein and understand that any document relevant to this information may be reviewed by the agents of United Way of Kenosha County. I understand that I may not begin volunteering until the background investigation has been completed. I certify that the answers given by me in this disclosure statement are complete, true, and correct without misrepresentations or omissions of any kind. I further understand that the making of any false or misleading statement or omission from or on this disclosure, or any other document, will be used to deny me volunteer work, or, if currently volunteering, used to terminate my volunteer status. I consider the request for disclosure of pending charges and convictions ongoing and will notify United Way of Kenosha County of any changes to the statements contained herein. I understand that United Way of Kenosha County shall not be held liable in any respect if my volunteering is terminated because of false of incomplete statements, answers or omissions made by me on the disclosure form of any other document. In consideration of United Way of Kenosha County’s review of the document, I hereby release United Way of Kenosha County, its Board, its agents, as well as all providers of information from any liability and for any damage which may result from the furnishing and receiving of information. A copy of this authorization and release is as valid as the original and should be recognized as such.
- Select - In checking this box, I agree with the above statement
I certify that the information stated in this volunteer application is true to the best of my knowledge
- Select - Yes