Daviess County CASA | Application

Get Involved

Application

If you are a human, ignore this field

Contact Information

* First Name

* Last Name

* Date of Birth (dd/mm/yyyy)

* Mobile Phone

* Home Phone

* Email Address

* Street Address

* City

* State

* Zip Code

Employment Information

Employer Name

Employer Phone Number

Employer Street Address

City

State

Zip Code

May we contact you at work?

Yes

Write a brief description of your work

Education Information

* Highest Level of Education Completed

Are you presently attending school?

Yes

Will you receive academic credit for your CASA volunteer work?

Yes

Do you speak any languages other than English?

Yes

If so, please specify

Availability

* Are you willing to commit 5-10 hours per month to perform CASA duties?

Yes

* What days and hours of the week are you available for training?

* Do you have a valid driver's license?

Yes

* Do you have access to a car?

Yes

* As a CASA volunteer, you will be required to attend court hearing for the children that you represent. Will you be able to arrange your schedule accordingly to attend these hearings?

Yes

References

Three references are required as part of the CASA volunteer application. A name and either mailing address or email address are required for each reference, while a phone number is encouraged. Please do not include family members as references.

Reference #1

* Name

* Email Address

* Phone Number

* Street Address

* City

* State

* Zip Code

Reference #2

* Name

* Email Address

* Phone Number

* Street Address

* City

* State

* Zip Code

Reference #3

Name

Email Address

Phone Number

Street Address

City

State

Zip Code

Questions

How did you learn about the CASA program?

* Why do you want to become a CASA volunteer?

What do you hope to get out of this volunteer experience?

List your current and previous volunteer work

Briefly explain what role you believe society should play in protecting the rights of children and in helping a family overcome hardships in order to remain living together as one unit

What experience or knowledge of children and families do you have that will assist you in determining what may be in a child's best interests? (e.g., parenting, child care, etc.)

Autobiography

The CASA application is extensive, but it does not necessarily provide all relevant information about you as a potential volunteer. Please elaborate upon your personal history in the following Autobiography section (recommended 1 - 3 paragraphs). The following prompts are possible ideas, but none of these are mandatory and you are more than what is in this list:

- Your family background, childhood, and culture, including your family beliefs and values
- What was your earliest memory? What were your mother and father like? Did you grow up with siblings?
- What happened when you were an adolescent? What led you to make the decisions to become the person you are today?
- Describe your career, relationships, children, and any life-altering events that have occurred

Write autobiography here

Submit Application

Once all fields in the application have been filled out, verify the authenticity of the information by checking the checkbox below and then click the Submit Application button to complete your application. If you wish to save your application to complete later, click the Save Application button below.

* Last step

I verify that all information in this application is, to the best of my knowledge, both accurate and complete.