Date: Tue Mar 21 19:24:38 2023

Date of Birth:*

*This information is collected for demographic purposes only and will be kept confidential and anonymous and will only be used in the aggregate.

Areas of Interest: IRS Representation
Auditing for Non-Profits Tax-exempt status
Bookkeeping Tax Preparation for Individuals
Financial/Estate Planning Tax Preparation for Non-Profits
General Accounting Other


I am licensed in:

Artistic Discipline Preference (if any):

Additional Participation:

I would be interested in:

Acknowledgment to my employer:

Send my supervisor, a copy of the thank you letters acknowledging my volunteer service.

Colleagues who might also be interested in volunteering with KCVLAA:

Name: Email:

Name: Email:


Fee-Generating Clients:
KCVLAA maintains a roster of accountants who will take referrals from client who can pay.  There is no fee to be on our volunteer roster!  But if you would like your name added to the fee referral list, check the applicable boxes below and either enclose a check for the annual $25.00 referral list fee, or submit a KCVLAA Membership Form with the appropriate membership fee.

Please send check to: KCVLAA, P.O. Box 413199, Kansas City, MO 64141-3199
KCVLAA is a Missouri 501(c)(3) Non-Profit Corporation