VITA Volunteer Application

What's your email address?

Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
Title
First Name *
Preferred Name (nickname)
Last Name *
Address *
City *
State *
Zip Code *
Mobile Phone *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for United Way of Summit and Medina County volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Would you like to sign up for the general UWSM newsletter?
Occupation
Employer or School (if student)
Have you ever volunteered at a VITA site before? *
If yes, how many years have you volunteered?
Do you plan to volunteer at any other VITA/TCE or AARP sites in addition to United Way of Summit & Medina? If yes, please list the other site names.
Please list any accommodations you require.
Please list any language(s) you are fluent in (besides English)
Are you volunteering to receive continuing education credits? *
Why do you want to be a VITA volunteer? *
How many shifts are you willing to commit to? *
Which days and times are you available to volunteer in Akron? (1060 Kenmore Blvd) *









Which days and times are you available to volunteer in Medina? (23 Public Square, Suite L-1) -- Note: We may add additional days for the upcoming season. *



Which volunteer position(s) are you interested in? (select all that apply) *





How did you hear about this opportunity? *
T-Shirt Size?