Volunteer Application

WE ARE NOW ACCEPTING APPLICATIONS FOR OUR FALL 2025 TRAINING.

Chelan-Douglas CASA/GAL Program Volunteer Application

Once you submit your application we will be in touch with you.
For more info please contact the CASA Office at cdcasa@cdcasa.org. You may also call our office at (509) 662-7350.

HOW OUR APPLICATION PROCESS WORKS:
Step 1: Review Training Dates to make sure you can attend all days. Fall Training Dates TBA.
Step 2: Complete and Submit CASA Volunteer Application
Step 3: Our Advocate Training & Retention Specialist will contact you via email to schedule an Interview
Step 4: When your Interview is complete you will receive a letter from our Executive Director inviting you to take our training!

Please contact our office at (509) 662-7350 or email us at cdcasa@cdcasa.org if you have any questions about our application process.

Volunteer Application Form

"*" indicates required fields

Date Application Submitted*

MM slash DD slash YYYY

Legal Name*

First Middle Last

Preferred/Chosen Name*

Are you at least 21 years of age?*

Yes

No

IDENTITY

The Chelan Douglas CASA Program seeks to recruit and train a diverse set of volunteers and respectfully requests information about the identities you hold and the lived-experiences you would bring to this volunteer position. Please note that you are not required to answer any of these questions if you are uncomfortable doing so and that will not impact your application.

Preferred Pronouns

She/Her/Hers

He/Him/His

They/Them/Theirs

I use other pronouns

I don’t use pronouns (please use my name)

Which gender best describes you right now?

Female

Male

Another Gender

CONTACT INFORMATION

Preferred Phone Number*

Secondary Phone Number

Untitled

This is a mobile number

Untitled

This is a mobile number

Home Address*

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

Mailing Address*

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

Email Address*

Ethnic Origin*

Caucasian

African American

Asian/Pacific Islander

Native American

Hispanic/Latino(a)

Other

Do you speak any languages other than English?*

Yes

No

Please list other languages*

EMERGENCY CONTACT INFO

Emergency Contact*

Relationship*

Emergency Contact Phone*

CURRENT EMPLOYMENT & EDUCATION

Current Employment Status*

Please make a selection from the drop-down box.

RetiredWorking Full-TimeWorking Part-TimeNot Currently Working

Place of Employment*

Title or Position*

Work Phone Number*

May we call you at work*

Yes

No

Business Address

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

Are you currently attending school?*

Yes

No

What is your area of study?*

Educational Background*

High School

GED

Associates Degree

Bachelor of Arts Degree

Bachelor of Science Degree

PhD/Doctorate

Other

If Other, please specify below.*

How did you hear about CASA?*

Friend/Family

Radio

TV/NCWLife

Theater Ads

Billboards

Word of Mouth

Other

Please explain:*

AVAILABILITY

Are you able to provide an 18-month commitment to the CASA Program?*

Approximately how much time can you contribute weekly as a CASA Volunteer?*

When would you normally be available for volunteer service? (Please choose all that apply)*

Morning

Afternoon

Evening

Weekdays

Weekends

Select All

Do you or any of your family members have experience with the juvenile court/legal system or DCYF?*

Yes

No

Please explain

Have you ever been appointed as a Guardian ad Litem or CASA in another county or state?*

Yes

No

Have you ever been removed as a Guardian ad Litem pursuant to a grievance action?*

Yes

No

Please indicate the name of the Court and the cause number

Is there a reliable phone number where a message can be left regarding this case number?

PAST EMPLOYMENT & VOLUNTEER HISTORY

Please indicate any paid, unpaid or volunteer work history beginning with the most recent

1. Company/Organization*

Title or Position*

Title or Position

Start Date*

Start Date

MM slash DD slash YYYY

End Date*

End Date

MM slash DD slash YYYY

Work Phone*

May we call this employer?*

Yes

No

2. Company/Organization*

Title or Position*

Title of Position

Start Date*

Start Date

MM slash DD slash YYYY

End Date*

End Date

MM slash DD slash YYYY

Work Phone*

May we call this employeer?*

Yes

No

3. Company/Organization*

Title or Position*

Title or Position

Start Date*

Start Date

MM slash DD slash YYYY

End Date*

End Date

MM slash DD slash YYYY

Work Phone*

May we call this employeer?*

Yes

No

REFERENCES

*We reserve the right to contact any other persons who may be known to you, and who you have not listed as a reference.

Reference #1*

First and Last Name

Valid Email Address*

Email Address

Phone*

Phone Number

May we contact this reference?*

May we contact this reference?

Yes

No

Reference #2*

First and Last Name

Valid Email Address*

Email Address

Phone*

Phone Number

May we contact this reference?*

May we contact this reference?

Yes

No

Reference #3*

First and Last Name

Valid Email Address*

Email Address

Phone*

Phone Number

May we contact this reference?*

May we contact this reference?

Yes

No

Why do you wish to become involved as a volunteer in this program?*

Please describe any life experiences which enhance your ability to advocate for children*

Are special accommodations needed to assist you in your role as a CASA Volunteer?*

Consent and Declaration*

I declare, under penalty of perjury in the State of Washington, the foregoing facts and information contained herein are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission, as well as any misleading statements or omissions, may serve as the basis for a finding of unsuitability as a volunteer, or immediate termination, regardless of when or how discovered. I hereby authorize the investigation of all matters which Chelan/Douglas County CASA deems relevant to my qualifications as a volunteer, including all statements made in this disclosure statement and in any attachments or supporting documents. I authorize you to request and receive such information and I release from all liability any persons supplying it. I also release you from all liability, which may result from making the investigations. I understand that Chelan/Douglas County CASA may request and receive information from federal and/or state law enforcement agencies and any division of the State of Washington Department of Social and Health Services.

Signature

CAPTCHA

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CLICK ‘SUBMIT’ BUTTON ABOVE TO SEND APPLICATION!!

If you do not receive a confirmation e-mail from us within 1-2 business days, please contact our office to let us know.

Commitment to Equal Opportunity

In order to provide the best quality advocacy for children in our community, we believe that we must be responsive to the needs of everyone who may provide, receive or be affected by our services. To that end, all policies, practices and recommendations are administered without discrimination on the basis of race, ethnicity, religion, sexual orientation, age, gender, gender identity and gender expression, marital status, physical abilities or national origin.