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About Us
Our Staff
Our Board
Calendar of Events
History
Financials
Annual Reports
Strategic Plan
Donor Privacy Policy
United Way Careers
Contact Us
Non-discrimination Policies
Our Work
Healthy Community
SingleCare
Youth Opportunity
Born Learning
Imagination Library
LIFT Community Schools
Schools of Hope
Youth As Resources
Financial Security
ALICE
VITA
Community Resiliency
211
Community Conversations
Our Impact
Women United
Volunteer
Our Partners
Corporate Partners
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Funding Process
Impact Partner Login
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Home
VITA Volunteer Application
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VITA Volunteer Application
VITA Volunteer Application
Volunteer information
Legal first name
Legal last name
Middle initial
Prefix
- Select -
Mx.
Mr.
Ms.
Miss
Mrs.
Dr.
Rev.
Fr.
Sr.
Prof.
Hon.
Ofc.
Preferred first name
Preferred last name
Address
City
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Alabama
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American Samoa
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Colorado
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Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
Contact information
Primary phone number
This is my
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home
work
cell
Alternate phone number
This is my
- None -
home
work
cell
Email address
Alternate email address
Emergency contact information
Emergency contact name
Emergency contact phone number
Emergency contact relationship
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spouse or partner
parent
sibling
friend
child
family member
Medical conditions/allergies
Volunteer interest and availability
Were you a VITA volunteer for the 2024 tax season?
- Select -
yes
no
How did you hear about VITA?
- Select -
I am a Case High School student volunteer
I am a Horlick High School student volunteer
A friend or family member
Newspaper ad or article
My employer/United Way workplace campaign
The school/college I attend
My place of worship
A presentation made to my club or civic organization
A poster, flyer or postcard
Facebook/social media
United Way enewsletter
The Volunteer Center of Racine County
Other
I am a
- Select -
Freshman
Sophomore
Junior
Senior
Please describe.
Referral
Employer
School/College attending
Place of workship
Date of birth
This information is used to determine if you are required to pass a background check.
Have you volunteered for United Way of Racine County in the past?
- Select -
yes
no
Please describe.
I am interested in volunteering as a(n)
Your selection on this application does not lock you in to your volunteer role. You can change your choice on certification/role at any time.
non-tax certified volunteer
Fills volunteer roles such to support clients that do not require tax certification.
tax certified volunteer
All training and support provided to prepare you to pass the exam for IRS - certification. Allows you to fill roles such as tax preparer and quality reviewer.
I am undecided at this time
I am interested in volunteering
- Select -
virtually only
in-person only
both virtually and in-person
All virtual volunteers must be tax certified. Non-certified volunteers are needed for in-person sites.
I have read and understand the statement below.
An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the
Centers for Disease Control and Prevention
, senior citizens and individuals with underlying medical conditions are especially vulnerable.
By volunteering to provide in-person services you voluntarily assume all risks related to exposure to COVID-19.
In order to be a part of our virtual VITA team, and volunteer from home, you will need a laptop or computer with updated antivirus and reliable, password protected internet. Do you anticipate having these items available during tax season?
- Select -
Yes
No
I am unsure at this time.
Are you bi-lingual?
- Select -
yes
no
Please let me know what languages (other than English) you can speak?
Please let me know what day(s) of the week you are typically available to volunteer.
This is general availability. You will be able to select your exact schedule as we get closer to tax season.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please let me know what time(s) of day you are typically available to volunteer.
This is general availability. You will be able to select your exact schedule as we get closer to tax season.
morning
afternoon
evening
How many shifts per week are you interested in volunteering during tax season?
Shifts range from 2-4 hours depending on the site.
- Select -
1
2
3 or more
Notes
Is there any additional information that I should know? Feel free to add questions, comments and/or concerns here.
Volunteer demographics
The information provided in this section will not be connected to your name.
With which gender do you identify?
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Female
Male
Transgender
Non-binary/third gender
Prefer to self-describe
Prefer not to say
How do you describe your race?
African American/Black
American Indian and Alaska native
Asian
Native Hawaiian or other Pacific Islander
White
Two or more races
Prefer not to answer
Other race not listed
Enter other…
How do you describe your ethnicity?
Hispanic
Not Hispanic
Prefer not to answer
When were you born?
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Before 1945
1946-1964
1965-1980
1981-1996
1997 or after
Prefer not to answer
Current education status
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college student
high school student
not a student
High school or college you are currently attending
What is your highest level of education completed?
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Elementary School
Middle School
High School
2-year degree
4-year degree
Masters/Professional degree
Doctorate
Prefer not to answer
Current employment status
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employed
currently not employed
retired
Current Employer (if retired, last employer)
What is your annual household income?
- Select -
Under $25,000
$25,000 to $49,999
$50,000 to $99,999
$100,000 and over
Prefer not to answer
Terms
I agree to the media release below.
This will confirm that the undersigned, having the sole right to do so, for good and valuable consideration (the receipt of which is hereby acknowledged), grants to United Way of Racine County, to include United Way Worldwide and its affiliated organizations, members, successors, assigns and licensees, a non-exclusive and irrevocable right to photograph, record, reproduce, publish, copyright, or otherwise use my name, photographic portraits or pictures, film, videos, internet postings, or sound recordings or any part thereof that may have been taken of me during United Way events and/or activities in written or electronic format, video or film (Content) for promotional, advertising, or other charitable purposes in any media including the world wide web related to the United Way community impact activities. This also includes any tweets or messages through social media.
I acknowledge and agree that nothing contained herein requires United Way to use any Content as described herein.
I represent and warrant that the consent of no other third party is required to enable United Way to use the Content as described herein, and that such use will not violate or infringe upon the rights of any third parties.
I acknowledge and agree that United Way has the right to assign this agreement and/or the rights herein (in whole or in part) to any party.
I acknowledge that its sole remedy for any breach shall be an action for damages, and irrevocably waive any right to obtain equitable or injunctive relief.
I waive any right of inspection, preapproval, or claims for compensation.
I am of full age and have the right to contract in your own name and have read the above consent and permission and are fully aware of its contents. In the event I am a minor, the signature of a parent or legal guardian is required. I will contact United Way of Racine County to make further arrangements.
This Consent and Release contains the full and complete understanding between the parties and supersedes all prior agreements and understandings pertaining hereto and cannot be modified except by a writing signed by each party.
I agree to the background check terms listed below.
I understand that my eligibility to be a volunteer is dependent on my background check results. I understand that before I am able to volunteer, I am responsible for submitting my personal information to Sterling Volunteers in order to provide a background check to United Way of Racine County. I certify that the answers given by me to Sterling Volunteers will be complete, true, and correct without misrepresentations or omissions of any kind.
I understand that United Way of Racine County shall not be held liable in any respect if my volunteering is terminated because of false or incomplete statements, answers or omissions made by me on the disclosure form of any other document. In consideration of United Way of Racine County’s review of the document, I hereby release United Way of Racine 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.
If accepted as a volunteer, I understand that I will be expected to keep in absolute confidence any and all confidential information that comes to my attention as the direct result of my volunteer duties.
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