CASA Volunteer Application
Please fill out the volunteer application form. After you submit your application, a CASA representative will reach out to you to schedule an interview.
Email address *
Full Name *
Are you at least 21 years of age? *
Social Security Number *
What is the applicant's race? (choose one or more)
Phone number *
Street Address *
City/ State/ Zip *
Drivers License Number
Martial Status
Clear selection
Spouse's Name
Spouse's Occupation
Do you have children? If so, what are their ages?
Emergency Contact Name
Emergency Contact Address
Emergency Contact Phone Number
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