• VOLUNTEER APPLICATION

  • Please fill in all *required fields before submitting form. If not applicable, enter N/A.
  • MM slash DD slash YYYY

  • ACKNOWLEGEMENT:

  • CASA of Delaware and Union Counties is committed to a policy of equal opportunity in accepting program volunteers. I understand that criteria used in the selection of CASA Volunteers and other program volunteers will be such as to ensure that each accepted applicant is able to meet the responsibilities of a CASA Volunteer or other program volunteer. No individual will be rejected because of race, ethnicity, nationality, gender, sexual orientation, religion, marital status, disability or age (must be 21 years of age to be a CASA Volunteer). I understand that CASA of Delaware and Union Counties reserves the sole right to determine which individuals are suitable to become CASA Volunteers or other program volunteers and further understand that if for any reason it becomes apparent that my activities are contrary to the policies, goals and/or philosophy of the program and their ability to provide quality services to abused and neglected children, my services as a volunteer, or potential volunteer will be terminated. I understand that individuals who have been charged, arrested or convicted of a felony, who have been charged, arrested or convicted of any criminal act involving drugs or alcohol within the past six (6) years and/or who have a history with a child protective service agency may not be accepted as a CASA Volunteer or other program volunteer. I understand an individual who has been convicted of, or has charges pending for a felony or misdemeanor involving any sexual offense, child abuse, child endangerment, neglect, or who has been involved in related acts that would pose a risk to children or to the program’s credibility will not be accepted as a CASA Volunteer or any other program volunteer. I understand that the program will give consideration to an individual with a misdemeanor or felony that is unrelated to posing a risk to children or the credibility of the program based on the extent of rehabilitation and/or other factors since the time of the offense. I submit that the statements on this application are true, complete and correct to the best of my knowledge. I understand that falsification on this application can disqualify me from consideration or can result in dismissal at a later time.
  • MM slash DD slash YYYY