Order Number Full Legal Name * Preferred Name Address * Address Line 2 City * State * Select a State/ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUnited States Minor Outlying IslandsUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * 1. Do you feel comfortable working with people of all races, ages, nationalities, immigration statuses, abilities, religions, sexual orientations and gender identities? VQ2 Yes No 2. Helping taxpayers will require strong communication skills Are you able to handle challenging interactions with a kind and patient demeanor? VQ3 Yes No 3. Are you able to volunteer at least 4 consecutive hours per week during the tax season (mid-January to mid-April)? We have sites open 7 days/week with varied hours. VQ5 Yes No 4. How familiar are you with tax preparation? No experience necessary. All training provided. * Not at all Somewhat familiar (I prepare my own taxes) Very familiar (I am a tax professional) 5. Do you speak any languages in addition to English? Check all that apply. Arabic American Sign Language (ASL) Cantonese Farsi French Filipino German Hindi Indonesian Japanese Khmer/Cambodian Korean Mandarin Russian Spanish Tagalog Thai Ukrainian Vietnamese Other, please fill in below If you speak a language that is not listed, please tell us: 7. Where did you learn about CASH Oregon? * AARP Tax-Aide CASH Oregon Flyer Current CASH Oregon Staff / Volunteer Current or Past CASH Client Farmers Market / Other Community Event Friend / Family HandsOn Portland Newspaper / Online Ad OnPoint Credit Union Point West Credit Union Portland Community College Portland State University Social media Trailhead Credit Union TV / Radio / News Umpqua Bank University of Portland Volunteer / Career Fair VolunteerMatch Other 8. Are you an IRS Employee? * Yes No 9. Were you referred to CASH Oregon by the IRS? * Yes No Tax Site Preferences You'll be able to change your tax site preferences later, if needed. 1. Where would you like to volunteer? Check all that apply. SE Portland N/NE/NW Portland Beaverton East Multnomah County/Gresham Eugene Virtually - Volunteer from home! 2. Our Impuestos Comunitarios program works specifically with Spanish-speaking and immigrant taxpayers in east Multnomah County. Would you be interested in working with this program? (Fluency in Spanish is required) * Yes No Maybe Are you looking to serve elsewhere not listed? Check out our partner program AARP Tax-Aide Emergency Contact Name * Emergency Contact Relationship * Emergency Contact Phone * Demographic Information We value diversity in our program and use demographic information to ensure inclusivity. These questions are optional and any responses are confidential. 1. Date of Birth (Optional) 2. I identify my gender as (optional - select all that apply) Male Female Transgender Male Transgender Female Nonbinary Genderqueer/gender-nonconforming Different Identity Prefer not to say Not Listed 3. I identify my race/ethnicity as (optional - select all that apply) Asian Black Indigenous Latino/Hispanic Middle Eastern Native Hawaiian or Pacific Islander North African Slavic White Unknown Prefer not to say Not Listed 4. What’s your employment status? (optional - select all that apply) Employed (full time) Employed (part time) Student (full time) Student (part time) Retired Unemployed (seeking employment) Unemployed (not seeking employment) Not Listed 5. What’s your professional background? (Optional) 6. Do you have any skills and experience that you would want to use or develop in our program? (Optional)
