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http://VigoCountyCASA.recruiterbox.com/jobs
Vigo County CASA Volunteer
Terre Haute
,
Indiana
,
United States
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First Name *
Last Name
Email *
Phone *
Resume
Address *
Linkedin Profile
Cell Phone
Work Phone
Can you receive calls at work?
--Select--
Yes
No
Only in an emergency
Date of Birth
Do you have a valid Driver's License?
--Select--
Yes
No
Have you ever been convicted of a crime or misdemeanor other than a minor traffic violation?
--Select--
Yes
No
Please describe (include charge and date)
Highest Level of Education
--Select--
Some High School
High School Diploma/GED
Some College
College Degree
Some Graduate
Graduate Degree
Major
Degree
Are you currently enrolled in school?
--Select--
Yes
No
Are you retired?
--Select--
Yes
No
Semi
Present Employer
Employer Address
Job title/position
Supervisor
How many hours do you work per week?
--Select--
Full-time 40+
Part-time <40 hours
Part-time <20 hours
Seasonal
List any special skills, hobbies, or languages spoken, etc
List any current community activities and membership in clubs, church, or other organizations.
Are you aware that as a volunteer you will work directly with the Vigo County Juvenile Court?
--Select--
Yes
No
Are you willing to make personal appearances in court?
--Select--
Yes
No
How did you become aware of the CASA program?
Do you have any health problems/handicaps that might limit your volunteer work?
--Select--
Yes
No
If yes, please explain
Have you had personal experience with any of the following: Foster care, Department of Child Services, Juvenile Court or other agencies offering services to children?
--Select--
Yes
No
Please elaborate
Do you believe, at this time that you are able to commit to at least 18 months of volunteer work upon completion of the 30 hour initial training?
--Select--
Yes
No
What is your availability for initial and on-going training (Indicate times not available
Please indicate your reason for seeking participation in this program.
Thanks for your time
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