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Home
About
Program Areas
Engage
Events | Workshop | Conference
Scholarships
WEN Book Club
Careers
Contact

Contact Support Team
Membership Application Form
Volunteer Assignment Form
Non-Disclosure Agreement
Start A Chapter
Family & Community Support

VITA Vol

VITA VOLUNTEER APPLICATION

Date / Time of Application *

Date

Time

Volunteer's Contact Information

Volunteer's Name *

First

Last

Volunteer's Email *

Volunteer's Phone Number *

Volunteer's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Volunteer's Age Range *

Under 18
18 – 24
25 – 34
35 – 44
45 – 54
55 – 64
Above 64

Volunteer's Marital Status *

Single (Never Married)
Married
Divorced
Widowed

Volunteer's County of Residence? *

Volunteer's Immigration Status? *

Citizens
Conditional and Permanent Residents
Non-Immigrant Status
Undocumented

Is Volunteer Employed? *

Yes
No

Volunteer's Job Title/Description *

Volunteer's Employer's Name and Address *

VOLUNTEER'S EXPERIENCE

Is this your first time of volunteering? *

Yes
No

Select the Volunteer position you are most interested in *

Greeter
Intake Specialist
Tax Preparer
No Preference

Are you a retired – *

Registered Agent
Student
IRS Agent
Educator
None of the above
Other

What is the name of the organization you are representing?

Why do you want to volunteer? *

How many hours a week are you willing devote towards taxes. *

VOLUNTEER'S HEALTH INFORMATION

Does Volunteer have any mental health concerns? *

Yes
No

Has Voulunteer ever been institutionalized?

Yes
No

What age was volunteer when diagnosed of mental health?

Under 18
Above 18

What Would volunteer like us to know about his or her mental health issues? *

If Volunteer is above 18, would client like us to contact your family member? *

Yes
No

Emergency Contact – Who May we Contact if we Cannot Get a Hold of Volunteer?

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Emergency Contact Email *

Emergency Contact's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Signature *

Clear Signature

About Us

World Ebony Network (WEN) is dedicated to reinforcing the enduring and noble philosophies, principles, practices (3Ps) of our fore fathers and appreciating the good aspects of other heritages. Our mission helps us to achieve our 3 part vision: to plead the socio-economic causes of people of African ancestry; to reconcile the estrange cultural relationships of people of African ancestry; and to appreciate the good aspects of other heritages.

Resource Links

Contact Support Team
Membership Application Form
Volunteer Assignment Form
Non-Disclosure Agreement
Start A Chapter
Family & Community Support

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First Name

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