Alcovy CASA Application

Have you ever been arrested?*

YesNo
If yes, please explain below. A conviction does not necessarily disqualify you from the volunteer program. However, CASA will automatically reject any applicant found to have been convicted of, or having charges pending, for a felony or misdemeanor involving a sex offense, child abuse or neglect, or related acts what would pose risks to children or the CASA program's credibility. If this does not apply, put N/A.*
Have you ever had a DUI/DWI?*

YesNo
If yes, please explain.
Have you ever had an addiction to drugs and/or alcohol?*

YesNo
If yes, please explain
Have you ever had a case with or investigation performed by the Department of Family and Children Services?*

YesNo
If yes, please explain below: If this does not apply, put N/A.*

Are you prepared to complete 40 hours of pre-service training; and 12 hour per year of in-service training?*

YesNo
Are you able to commit to attending all court hearings, once assigned to a CASA case?*

YesNo
Are you able to commit to visiting the case you are assigned monthly?*

YesNo
Why do you want to volunteer in the community, specifically with CASA?*
Is your family supportive of you becoming a CASA volunteer?
What values are important to you, and why? *

How would you describe yourself? Name strengths and areas for improvement.*
What kind of situations do you find stressful? How do you deal with that stress?*
Why do you think that children come into foster care?*
As a CASA volunteer, how would you approach communicating with a parent who has previously abused or neglected their child?*
What type of work environments/management style do you prefer? Why?*
How supportive is your employer towards you taking time off to attend court observation or court hearings? CASA Volunteers are required to attend 10 hours of court observation during the pre-service training. Court observation occurs during business hours on weekdays.

Is there anything else that you would like to tell us about yourself?
REFERENCES: Please list three references of people who know you through either a paid or volunteer capacity. Please do not use relatives. A link will be sent via email. Please remind references to check spam folders as well.
Reference #1 Name:*
Reference #1 Relationship to you:*
Reference #1 Email Address *
Reference #1 Telephone Number
Reference #2 Name:*
Reference #2 Relationship to you:*
Reference #2 Email Address*
Reference #2 Telephone Number
Reference #3 Name:*
Reference #3 Relationship to you:*
Reference #3 Email Address*
Reference #3 Telephone Number:
I verify that all three of my references are people who know me from a work, volunteer, or community connection, and are not related to me.

Yes
Write a brief statement on why you have chosen to work with the CASA program at this particular time in your life. *

I hereby affirm that all of the answers provided on my volunteer application are true and accurate. I hereby authorize Alcovy CASA, Inc., and any law enforcement agency CASA authorizes to investigate my background to determine my fitness as a potential volunteer.

I further understand that the information requested in this application will be used only for the purpose of determining my suitability as a CASA volunteer. I understand that the completion of this application does not guarantee that I will be chosen for the training class.
Signature*

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Alcovy CASA, Inc. Volunteer Application