CASA Volunteer Application

Personal Information
Emergency Contact
Employment Information
Education Information
For Case Matching and Statistical Purposes

Please be aware that CHILDREN ARE FREQUENTLY MOVED. If you have a preference in the county area where you would be willing to accept a case assignment, you may be required to travel to other areas in the county to maintain contact with the child to whom you are assigned.

Background Information

Have you been:

Please note - drug/substance (DUI/DWI) violations: Violations under 5 years are reason for exclusion from serving as a CASA volunteer due to Program Policy and Insurance requirements.

References

Please list three (3) personal references. One must be employer or co-worker if employed. Teachers, ministers, volunteer supervisors or similar may be used in place of employer if unemployed. Please do not list relatives. All references will be mailed a questionnaire to complete. Application approval is pending receipt of at least three returned references.

Submit

Upon receipt of your application you will be contacted for a personal interview. I certify that the above information is true and correct to the best of my knowledge and belief. I understand and agree that any false statement or omission of material fact will cause my immediate and unconditional dismissal from the Court Appointed Special Advocate program.

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