Volunteer Application














    Marital Status

    Emergency Contact:






    Do you have a valid driver's license?
    Do you have a vehicle?
    Do you have automobile insurance?
    Education


    Did you graduate?



    Did you graduate?



    Did you graduate?




    Additional Questions:

    Have you ever been convicted of an offense by a civilian or military court? Exclude minor traffic violations.
    Are you currently charged with an offense for which you have yet to be tried? Exclude minor traffic violations.
    Have you ever had prior involvement with DHR or any other state’s child protection agency either personally or professionally?
    Do you have any case pending in Juvenile or Family Court?
    Can you think of any reason why a judge might be reluctant for you to serve as a CASA volunteer?