Shiftboard: Tempe Community Council Registration

Registration: Tempe Community Council

* required field

* First Name

* Last Name

* Email

* Zip/Postal Code

* Mobile Phone

Primary/Home Phone

* Address

* City

* State/Province

Registration Date

* Speaks Spanish

Yes No

* If Translator, which languages

	Spanish
	Chinese

	Other
	None

If Other, specify here

* What was your first tax year that you worked for VITA?

* CPA

Yes No

* EA

Yes No

* ASU Student

Yes No

* Have you completed ACC430?

Yes No

Are you a BAP Member?

Yes No

Are you a ABLA member?

Yes No

Are you a ALPFA member?

Yes No

* If you are a graduate student, which degree are you seeking?

If Other, please specify

* Emergency Contact

* Emergency Phone

* Emergency Contact Relationship

Thank you for your interest!

Tempe, Arizona 85281
864-906-7096

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