CASA Volunteer Application

CASA Volunteer Application
Thank you for taking this important step toward helping to Change a Child's Story™. Once you have submitted this form, a member of our CASA staff will contact you within two business days. If you have any questions or need assistance completing the application, please email casa@snoco.org

Please note: All written notes, documentation, and materials associated with your application and interview process are Snohomish County public records and may be subject to disclosure pursuant to the State of Washington’s Public Records Act (RCW 42.56).

Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred/Chosen Name
Pronouns
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
For which training session are you applying?*
Please list any languages you speak fluently, in addition to English
Do you hold a valid Washington State Driver's License*
Do you have convenient access to a car/transportation?*
Do you have any restrictions on your willingness to drive?*
Restrictions on Driving*
Drivers License Upload

Cancelof
How did you hear about the Office of the Court Appointed Special Advocate (please select all that apply)*

Social MediaFriend/FamilyLocal EventNews ArticleAdvertisementYard SignPostcard/MailingOther
Please explain how your heard about the Office of the Court Appointed Special Advocate*

Background Information
Have you volunteered for a CASA or a child advocate program?*
Where and When?*
Have you ever been charged with a crime?*
Answering yes does not automatically disqualify applicants.
Where and When?*
Have you ever been convicted of a crime?*
Answering yes does not automatically disqualify applicants.
Where and When?*
Have you ever worked for any juvenile court system?*
Where and When?*
Have you ever worked for the Department of Children, Youth, and Families?*
Where and When?*
Have you ever been a foster parent?*
Are you currently a foster parent?*
Which county are you a foster parent?*
Do you have a current or past case filed against you in dependency court?*
In which county and when was your dependency case open?*

Education
Do you have a high school diploma or GED?*
A high school diploma or GED Equivalency is required to volunteer as a Court Appointed Special Advocate.
Post-Secondary (vocational, college, university) Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Did you graduate?
Degree/Certificate earned
Would you like to add another Post-Secondary (vocational, college, university)?
Post-Secondary (vocational, college, university) Name:
Start Date

MonthDayYear
Date
End Date Date

MonthDayYear
Date
Degree/Certificate earned
Degree
Additional space for information regarding your education.

References

Please list three references who are not family members and whom you have known for a minimum of one year.
Reference One
Reference One Name *

First NameLast Name
Relationship*
Reference One Email *
example@example.com
Reference One Phone Number*
Please enter a valid phone number.
Reference Two
Reference Two Name*

First NameLast Name
Relationship*
Reference Two Email*
example@example.com
Reference Two Phone Number*
Please enter a valid phone number.
Reference Three
Reference Three Name*

First NameLast Name
Relationship*
Reference Three Email*
example@example.com
Reference Three Phone Number*
Please enter a valid phone number.
I confirm that the references provided have known me for at least a year and are not family members*

Yes

Employment Experience
Current Employment Status*
Company
Job Title
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Responsibilities
Start Date

MonthDayYear
Date
End Date (Leave blank if current position)

MonthDayYear
Date
Reason for Leaving (Leave blank if current position)
Would you like to add additional employment experience?

YesNo
Company
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Responsibilities
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Reason for Leaving
Additional Space for Employment Information

Volunteer Experience

Please list all volunteer activities from the past ten years
Do you have any volunteer experience to share?*

YesNo
Even without formal volunteer experience, please describe any informal ways you've helped other in your community, family, or social circles?*
Have you ever been asked to leave a volunteer position?*

YesNo
Why were you asked to leave?*
Organization
Role/Position*
Responsibilities*
Skills or experience gained*
Start Date*

MonthDayYear
Date
End Date (Leave blank if ongoing)

MonthDayYear
Date
Reason for leaving (Leave blank if ongoing)
Would you like to add additional volunteer experience?*
Organization*
Role/Position*
Responsibilities*
Skills or experience gained*
Start Date*

MonthDayYear
Date
End Date (Leave blank if ongoing)

MonthDayYear
Date
Reason for leaving (Leave blank if ongoing)
Space to list additional volunteer experience
CASA volunteers should expect to commit approximately 15 hours per month for the duration of their assigned case. Cases typically last 18-22 months but may be shorter or longer depending on circumstances.
Based on the expectation of 15 hours per month for 18-22 months, are you able to make this commitment?*

YesNoUnsure - would like to discuss

Supplemental Questions
Why do you want to serve as a Court Appointed Special Advocate?*
What specific skills, education, and/or lived experience do you possess that would make you an effective CASA volunteer?*
CASA work can be emotionally challenging and requiresresilience. Describe a time when you faced a difficult or stressful situationand how you handled it. What did you learn about yourself from that experience?
CASA volunteers need to be comfortable working with children, foster parents, caseworkers, etc. with diverse experiences, identities and backgrounds. Some examples of the types of diversity you may encounter are:
- Race and ethnicity
- Sexual orientation, gender identity and gender expression
- Religion
- Physical/health/developmental limitations
- Mental health issues
- Socio-economic class
- Sibling groups
- Ages of children
- Types of abuse
Describe some opportunities you have had to work in diverse, multicultural, and inclusive settings. Please explain how that experience will contribute in your role as a CASA volunteer. Do you have any concerns about working with any of the groups mentioned below? If yes, please explain.*
Rate your current skill level with Microsoft Office Suite (Beginner/Intermediate/Advanced). Please note that basic computer and Microsoft Office skills are required for this position, as we do not provide training on basic software use. Are you comfortable learning new technology features independently as needed?" *
How will you manage a commitment of approximately 15 hours per month for 18-22 months alongside your other responsibilities

Disclaimer and Signature
I understand that by submitting this application, I authorize inquiries to be made concerning my suitability as a volunteer. I further acknowledge that my service as a volunteer is an at-will appointment and may be terminated by the Office of the Court Appointed Special Advocate at any time.

Criteria used in the selection of volunteers will be such as to insure the individual is able to meet the responsibilities of a volunteer Court Appointed Special Advocate. No individuals will be rejected because of race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, age, disability, ancestry, national origin, or marital status/civic union or domestic partnership status.

Completion of application, interview, and preservice training process does not guarantee acceptance into the program.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to a volunteer position, I understand that false or misleading information in my application or interview may result in my release.
I understand and Agree*

YesNo
Electronic Signature*

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Date*

MonthDayYear
Date
Place*
Please verify that you are human*
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CASA Volunteer Application

Thank you for taking this important step toward helping to Change a Child's Story™. Once you have submitted this form, a member of our CASA staff will contact you within two business days. If you have any questions or need assistance completing the application, please email casa@snoco.org

Please note: All written notes, documentation, and materials associated with your application and interview process are Snohomish County public records and may be subject to disclosure pursuant to the State of Washington’s Public Records Act (RCW 42.56).

Applicant Information

Background Information

Identity

Specialized Experience

Education

References

Reference One

Reference Two

Reference Three

Employment Experience

Volunteer Experience

Supplemental Questions

Disclaimer and Signature