Family Law CASA of King County Washington – Court Appointed Special Advocates for children

Volunteer Application Form
Become a CASA volunteer.

To become a CASA volunteer you must submit a complete application and participate in an interview with CASA staff members. You may apply online using the form below or request an application to be sent to you in the mail. The application includes a personal profile, work history, background information (criminal, driving, volunteer) and requires three references and a one page essay about why you wish to volunteer on behalf of children.

Applicants must be 21 years or older and have no criminal history or pending criminal or family law cases. This information is used for the sole purpose of screening applicants, so we can ensure the highest quality volunteer work. Once a completed application is submitted online or returned via mail, the three references have been checked and a criminal background check completed, we will schedule an interview. We will notify applicants after the interview if they have been accepted into the training. Those volunteers accepted into the program then begin the training process.

CASA Volunteer Application

Profile Volunteer Applicant must be 21 years of age.
Last Name*
First Name*
Middle Initial
Home Phone*
E-mail*
Home Address*
City*
State*	Zip
Work Address
Work Phone
Work Email
Date of Birth
Ethnic Origin

Background
Have you ever been convicted of a crime, including DUI/DWI?*
	Yes No
If yes, please explain:

Do you have any criminal charges pending or accusations under investigation?*
	Yes No
If yes, please explain:

Have you ever been involved in a family law dispute?*
	Yes No
If yes, please explain:

Do have access to transportation?
	Yes No
Do you have a valid Washington State Driver's license?*
	Yes No
If yes, please provide your valid Washington State driver's license
number:
Expiration:
Do you or have you volunteered anywhere else?
	Yes No
If yes, please describe:

Have you applied to the CASA program before?*
	Yes No
If yes, please describe:


Work History
Indicate paid/unpaid work history beginning with MOST recent:
[1] Company/ Organization:
Position:
Dates:
Work Phone:
[2] Company/ Organization:
Position:
Dates:
Work Phone:
[3] Company/ Organization:
Position:
Dates:
Work Phone:

Why You Wish to Volunteer
Please write in about 500 words why you wish to volunteer to work on behalf of children:*


References
Please list three Non-Relative and Non-Employee references who have known you at least 2 years:
[1] Name:
Street Address:
City:
State	Zip
Phone:
[2] Name:
Street Address:
City:
State	Zip
Phone:
[4] Name:
Street Address:
City:
State	Zip
Phone:

How did you become aware of this program?


Submitting Application
I understand that by submitting this application, I authorize inquiries to be made concerning my suitability as a volunteer. The information requested in this application and information which might otherwise be obtained will be used only for the purpose of determining my suitability as a volunteer. All information will be held in strict confidence. No individual will be rejected because of race, color, creed, national origin, sex, sexual orientation, age, marital status or physical disability. I understand that this program will be doing a criminal history check.

Yes, I have read and understand the information provided in this application.*

The application may be completed and returned on-line; however, an original signature will be required at time of interview.