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Volunteer Application

Contact Information

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Employment History

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Education

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Short Answers

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Authorization Policy

I hereby affirm that all the information provided on my volunteer application is true. I hereby authorize Goochland CASA and any law enforcement agency they authorize, to investigate my background to determine my fitness as a potential volunteer. This includes clearances from Department of Social Services Central Registry; State Police; National Sex Offender Registry; FBI or other Criminal databases. I understand that my Social Security number will only be used to access clearances by Goochland CASA for purposes of determining fitness as a potential volunteer.

I understand that the information requested in this application will be used only for the purpose of determining my suitability as a CASA volunteer. Further, I understand that completion of the 30-hour new volunteer training does not guarantee that I will be assigned a case. If I have successfully completed the training and have met all other requirements, and it has been determined that I am a suitable volunteer, I understand that I will be expected to serve a minimum of one (1) year as a volunteer advocate with the Goochland CASA program. If unforeseen circumstances prevent me from fulfilling this obligation, I will submit my written resignation to the CASA Executive Director with as much advance notice as possible.

I am aware that I am required to participate in 12 hours of additional training each year to retain my position as a CASA advocate in good standing.

I am aware of the sensitive and confidential nature of the official documents, reports, and other material I will access in my capacity as a CASA volunteer. I will discuss these matters only with those persons directly involved in the case or who will be consulted for their professional knowledge and expertise.

I also understand that, if for any reason, it becomes apparent that my activities are contrary to the goals and/or philosophy of the Goochland CASA program and their desire to provide quality services to abused and neglected children; or if I should be convicted of a felony or misdemeanor, my services as a Goochland CASA volunteer may be terminated.

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