for Internal Use Only
Date Rec'd:
Training:
Date Ref. Sent:
Date BC Sent:
Int Date:
Date LOI Sent:
Ref. Rec'd: 1 2 3 4
Date BC Rec'd:
CASA OF FRANKLIN COUNTY
VOLUNTEER APPLICATION
Court Appointed Special Advocates of Franklin County
373 South High Street, 6th Floor Columbus, Ohio 43215  (614) 462-7450  (614) 462-5070 fax
www.casacolumbus.org
(Please type or print) 
Volunteer position desired: CASA/GAL Special Events Projects Speaker's Bureau
CASA Board Diversity Team Other
Name:
Address:
City/State/Zip:
Phone Number (home): Phone Number (work):
Phone Number (cell): Email Address:
May we call you at work?
How often do you check email?  
County in which you reside: How long have you lived in Ohio?
In case of emergency, contact:
Phone Number (home) Phone Number (work) 
Most Recent School Attended: 
Highest Grade Completed: , Diploma or certification of completion should be submitted with this application.
Degree(s) or area of study
CASA/GAL advocates must be 21 years old. Are you over 21?
Although much of the CASA/GAL volunteer time is flexible, court hearings and reviews occur during weekday mornings. Court hearings 
Occur about once every six months. Will you be able to attend daytime court hearings?
Do you have a valid State of Ohio driver’s license?
Do you have a reliable means of transportation?
Have you ever been arrested, or convicted of any crime in this state or another state or jurisdiction?
If yes, please detail (excluding civil traffic offenses):
Do you have any criminal charges pending at present?
If yes, please detail:
Do you have a pending custody or juvenile court case?
If yes, please detail:
Can you think of any reason a Franklin County judge or magistrate might be reluctant to appoint you to a case? 
If yes, whom and why?
Do you have a history with any child protective services agency?
EMPLOYMENT
Most Recent Employment
           
Job Title:
Company Name:
Address:
City/State/Zip:
Please Provide Employment Information for the past five years:
From: To: Job Title: Supervisor:
Company Name:
Address:
Phone Number: 
From: To: Job Title: Supervisor:
Company Name:
Address:
Phone Number: 
From: To: Job Title: Supervisor:
Company Name:
Address:
Phone Number: 
From: To: Job Title: Supervisor:
Company Name:
Address:
Phone Number: 
From: To: Job Title: Supervisor:
Company Name:
Address:
Phone Number: 
VOLUNTEER INFORMATION (Current or Previous)
From: To: Agency/Organization:
Address:
City, State:
Zip:  Phone: 
Duties:
Supervisor's name and title:
Other community/volunteer activities:
REFERENCES
Please alert your references that we will be contacting them soon by mail and need a prompt reply. Do NOT include family members as references. Please list 4 complete references
1) Name: Relationship:
Company/Organization:
Address:
City/State Zip
2) Name: Relationship:
Company/Organization:
Address:
City/State Zip
3) Name: Relationship:
Company/Organization:
Address:
City/State Zip
4) Name: Relationship:
Company/Organization:
Address:
City/State Zip
How did you learn about CASA?
Have you applied to or been involved with another CASA/GAL program in Ohio, another state or a US territory?
Describe your experience working with youth:
Why do you want to volunteer with CASA of Franklin County?

RELEASE OF INFORMATION
I hereby give my informed consent to Court Appointed Special Advocates of Franklin County to complete a thorough investigation of
my character and fitness to be a CASA/GAL Volunteer or other program volunteer. I understand by signing this release, I authorize
inquiries to be made concerning my suitability as a volunteer to references that I have provided. I further authorize police checks,
Bureau of Criminal Investigation checks and child protective services agencies history checks. I understand that information
requested in this application and other information that may otherwise be obtained will be used only for the purpose of deciding my
fitness and suitability to serve as a CASA/GAL Volunteer or other program volunteer and may be shared with other CASA programs, if
appropriate. I further understand that Ohio law may require additional background checks on me in the future to remain a CASA/GAL
Volunteer or other program volunteer. I hereby agree to cooperate with such required checks and/or investigations and to sign all
necessary releases or resign as a CASA/GAL Volunteer or program volunteer.


This release is good until revoked by me, in writing, at any time before it has been acted upon.


Criteria used in the selection of CASA/GAL Volunteers and other program volunteers will be such as to ensure that each accepted
applicant is able to meet the responsibilities of a CASA/GAL Volunteer or other program volunteer. No individual will be rejected
because of ethnicity, gender, handicap, nationality, race, religion, sexual orientation, marital status or age (must be 21 years
of age to be a GAL Volunteer).

I understand that CASA of Franklin County reserves the sole right to determine which individuals are suitable to become CASA/GAL
Volunteers or other program volunteers. Prospective volunteers should understand that CASA of Franklin County reserves the right
to terminate their participation in the training at any time. Individuals who have been convicted of a felony, who have been
convicted of any criminal act involving drugs or alcohol within the past five (5) years and/or who have a history with a child
protective service agency may not be accepted as a CASA/GAL Volunteer or other program volunteer. An individual who has been
adjudicated to have abused or neglected a child included, but not limited to, any sexual offense, 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/GAL Volunteer or any other program volunteer.
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