First Name:	Last Name:
Mailing Address:	City: Las Vegas North Las Vegas Henderson Pahrump	Zip:
Daytime Phone:	Evening Phone:
E-mail Address:	Confirm E-mail Address:
You will be receiving an e-mail with more information about volunteering, so please ensure your e-mail address is correct.

1. How did you hear about this opportunity? Check all that apply.

Returning Volunteer
Media
Referred by Friend/Family
High School/College/University
Website/Email/E-newsletter
My Company Encouraged Me to Volunteer
Flyer or Poster
SUMNU Marketing
Other

2. Which volunteer position(s) are you interested in? Check all that apply.

Tax Preparer (training and certification are required, and is provided free of charge)

Screener (meets and greets clients, ensures proper documentation and intake)

Greeter (meets and greets clients, ensures proper documentation and intake)

Quality Reviewer (reviews all tax returns prior to submission; previous tax experience required)

Interpreter (interprets languages to eliminate obstacles between taxpayer and tax preparer)

Site Coordinator

3. Have you volunteered at a free tax site before?

Yes No

4. What is your previous experience with taxes? Please check all that apply.

CPA
Enrolled Agent
Previous VITA Volunteer
Other Professional Tax Preparation Experience
Other
None (don't worry, no experience is required)

5. Please rate your proficiency with computers:

Beginner Intermediate Advanced

6. What languages do you speak? Check all that apply.

English
Spanish
Chinese
Tagalog
Other

7. What is your availability? Check all that apply.

Monday	Morning Afternoon Evening Not Available
Tuesday	Morning Afternoon Evening Not Available
Wednesday	Morning Afternoon Evening Not Available
Thursday	Morning Afternoon Evening Not Available
Friday	Morning Afternoon Evening Not Available
Saturday	Morning Afternoon Evening Not Available
Sunday	Morning Afternoon Evening Not Available

Any / All Availabilities

8. Which site(s) would like you volunteer for? Check all that apply.

Any / All
United Way Roving — (various temporary sites throughout the Valley)
Community Services of Nevada — (730 W. Cheyenne Ave. , Suite #10, North Las Vegas, NV 89030)
Hermandad Mexicana — (1722 W. Bonanza Rd, Suite #100, Las Vegas, 89106)
HopeLink — (178 Westminster Way, Henderson, NV 89015)
Latin Chamber of Commerce — (300 N. 13th Street, Las Vegas, NV 89101)
Nevada Partners, Inc. — (710 W. Lake Mead Blvd, North Las Vegas, NV 89030)
Nye Communities Coalition — (1020 E. Wilson, Pahrump, NV 89048)
University of Nevada, Las Vegas — (4505 S. Maryland Parkway, Las Vegas, NV 89154)
Las Vegas Urban League - Pearson Center — (1625 West Carey Avenue, North Las Vegas, NV 89032)
Hispanic-American Partnership, Inc. (HAPI) — (2950 S. Rancho Dr., Suite #102, Las Vegas, NV 89102)
Centennial Hills Community Center (City of Las Vegas) — (6601 N. Buffalo Dr., Las Vegas, NV 89131)
Doolittle Senior Center — (1930 N. J St., Las Vegas, NV 89106)
Seafood City Supermarket (Fil-Am Scholarship Foundation) — (3890 S. Maryland Pkwy, Las Vegas, NV 89119)
GEAR UP — (1455 E. Tropicana Ave., Suite #650, Las Vegas, NV 89119)
UWSN Roving - Boulder Station — (4111 Boulder Highway Las Vegas, NV 89121)
UWSN Roving - Green Valley Ranch — (2300 Paseo Verde Parkway Henderson, NV 89052)
UWSN Roving - Santa Fe Station — (4949 N. Ranch Dr. Las Vegas, NV 89130)
UWSN Roving - Palace Station — (2411 W. Sahara Ave. Las Vegas, NV 89102)
UWSN Roving - Texas Station — (2100 Texas Star Lane North Las Vegas, NV 89032)
UWSN Roving - Red Rock Casino — (11011 W. Charleston Blvd. Las Vegas, NV 89135)
UWSN Roving - UPS Call Center — (7120 Amigo St. Las Vegas, NV 89119)
College of Southern Nevada - Cheyenne Campus — (3200 E. Cheyenne Ave., Las Vegas, NV 89030)
Sunrise Southern Baptist Church — (1780 Betty Lane, Las Vegas, NV 89142)
UWSN Roving - Lee's Sandwiches (OCA) — (3989 Spring Mountain Road Las Vegas, NV 89102)
UWSN Roving - Greenland Supermarket (ACC) — (6850 Spring Mountain Rd Las Vegas, NV 89146)
UWSN Roving - Sunset Station — (1301 W. Sunset Rd., Henderson, NV 89014)
Seafood City Supermarket (Las Vegas International Lions Club) — (3890 S. Maryland Pkwy, Las Vegas, NV 89119)
UWSN Roving - DIME Senior Community Center — (5542 Tres Piedras, Las Vegas, NV 89122)
UWSN Roving - Palms — (4321 West Flamingo Road, Las Vegas, NV 89103)
UWSN Roving - Bally's — (3645 Las Vegas Blvd. South Las Vegas, Nevada 89109)
UWSN Roving-Veteran's Stand Down (Cashman Center) — (850 N Las Vegas Blvd Las Vegas, NV 89101)
UWSN Roving-US Vets — (525 E Bonanza Rd Las Vegas, NV 89101)
UWSN Roving-City Impact — (928 E. Sahara Ave, Las Vegas, NV 89104)
Super Saturday 2013-YMCA — (4141 Meadows Lane, Las Vegas, NV 89107)
UWSN Roving-The Center — (401 S. Maryland Pkwy., Las Vegas, NV 89101)
UWSN Roving-UMC — (901 Rancho Ln Las Vegas, NV 89106)

9. Enter the numbers in the textbox below