Volunteer Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Phone*

Your Email*

Date of Birth*

How long have you lived in Massachusetts?*

Please check all that apply:*

Asian-American
African-American
Caucasian
Hispanic-Latino
Native-American
Other
Female
Male

Level of education*

Employment Status*

Employer

Employer Address

Your Title*

How did you initially hear about The CASA Project?*

Have you or your family ever been involved with the Department of Children and Families (currently DCF formerly DSS) or the Worcester Juvenile Court in Massachusetts, or the agency of another state as an employee, volunteer or client? If so, please explain.*

Have you ever been convicted of a crime? If so please explain the nature of the crime. (This would not automatically preclude you from becoming a volunteer.)*

Signature*

I CERTIFY THAT ALL THE ABOVE IS TRUE AND CORRECT. I UNDERSTAND THAT IF AN INVESTIGATION DISCLOSES UNTRUTHFUL OR MISLEADING ANSWERS, MY VOLUNTEER APPLICATION MAY BE REJECTED OR MY VOLUNTEER POSITION TERMINATED.

Volunteer

Be a part of the solution!

Take the first step to becoming a CASA advocate:

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