CASA of Northwest Georgia Volunteer Application
Thank you for choosing to help protect children in northwest Georgia! 

We are excited you want to join our team of highly trained CASA volunteers. You will learn to become an independent voice for abused and neglected children during court proceedings.  We conduct intensive training which includes 24 hours of in class training (1 evening a week for 8 weeks), 12 hours of court and panel review observation, background screenings, drug testing, and being officially sworn in by local judges.

The new CASA training class will begin this fall. Classes will meet every week for 8 weeks from 5:30-8:30 PM.

Please take a moment to complete our volunteer application below. When you have submitted your application, we will be able to contact you to schedule an interview and begin the screening process for volunteers. 

Thank you again!
CASA of Northwest Georgia


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First Name *
Last Name *
Mailing Address *
City *
State *
Zip Code *
Email Address *
Preferred Phone Number *
Alternate Phone Number
Are you at least 21 years of age?  *
Date of Birth (MM/DD/YYYY) *
Marital Status *
Spouse/Partner's Name (if applicable)
Emergency Contact Name (if different from above) *
Emergency Contact Phone Number *
How did you learn about CASA of Northwest Georgia?  *
Required
High School Attended *
Did you graduate from high school?  *
College/University Attended
Degree Obtained (Write NA if not applicable)
Post-Secondary Education
Are you currently employed? 
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Name of Employer (if applicable)
Employer Phone Number (if applicable)
Length of Current Employment (if applicable)
Position/Occupation
Please list any volunteer experience and length of service.
Have you ever been involved in or with the child welfare system?  *
If you answered "Other" to the above question, please share details. 
Have you ever been arrested or convicted of any violation OTHER THAN minor traffic violations. *
If you answered YES to the question above, please explain. 
Have you ever sought treatment for, or are currently in treatment for a mental health diagnosis? *This will not preclude you from volunteering.  *
Have you ever had a case with, or by, the Department of Children and Family Services (DFCS)? If you indicate Yes, by signing this application, you are providing consent for the CASA office to contact DFCS regarding the above mentioned case.  *
Describe your experience with children (including any personal, work, or volunteer service involving children.) *
Please provide us with any insight into your desire for volunteering. Once you made the decision to volunteer, why CASA? Talk about your interest level and what you expect to gain from the program. What do you think will be most difficult as a CASA volunteer? There are no "right or wrong" answers - this just helps us get to know you better! *
If you are assigned a case, are you willing and able to commit to the child (or sibling group) for the duration of the case (can be up to two years)?  *
If you have any concerns about the question above, please share those concerns with us. 
Please write a brief biography. Be sure to include any historical information you feel especially shaped your life. Include information about your childhood, current family and lifestyle, career, hobbies and interests.  *
Personal Reference #1
First and Last Name *
Company
Mailing Address including City, State, and Zip Code
Email Address *
Phone Number *
Personal Reference #2
First and Last Name *
Company
Mailing Address including City, State, and Zip Code
Email Address *
Phone Number *
Professional Reference #1
First and Last Name *
Company *
Mailing Address including City, State, and Zip Code
Email Address *
Phone Number *
Professional Reference #2
First and Last Name *
Company *
Mailing Address including City, State, and Zip Code
Email Address *
Phone Number *
Signature. Please type your first and last name below which serves as your digital signature.  *
Date  *
MM
/
DD
/
YYYY
Thank you for completing our application!
Once you hit the submit button, your information will be sent to us and we can begin the interviewing and screening process. We will be in touch with you soon. 
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