VITA Volunteer Interest Form

Thank you for your interest in becoming a VITA volunteer! Please provide the requested information below to indicate your interest in serving as a VITA volunteer. Upon receiving your information, a VITA Coalition representative will follow-up with you via the information you provided.

Should you have any questions regarding this form or our VITA program, please contact Donna Hurley via email or by phone at (361)882-2529 Ext. 118.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.