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Advocate Application

First Name
Last Name
Country
Address Line 1
City
State
Postal Code
Are you prepared to complete 33 hours of pre-service training and 12 hours/year thereafter?
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name

I hereby affirm that all of the answers provided on my Volunteer Advocate Application are true. I hereby authorize CASA of Rochester/Monroe County Inc., and other appropriate agencies to provide the necessary information for them to secure the following record checks:

  • criminal records from the court jurisdiction in which the applicant currently resides and works
  • state criminal records
  • FBI or other national criminal database
  • National Sex Offender Registry
  • Child Abuse Registry or child protective services where permissible by law
  • social security number verification

If you refuse to sign a release of information form or submit the required information or fingerprints for any of the checks required, the CASA of Rochester/Monroe County, Inc. will not accept your application.

Any applicant found to have been convicted of, or have charges pending for a felony or misdemeanor involving a sex offense, child abuse, child neglect, or related acts that would pose risks to children or our program's credibility is not accepted as a CASA 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 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 two years in the CASA program. If unforeseen circumstances prevent me from fulfilling this obligation, I will submit my written resignation to the program director with as much advance notice as possible. I am aware of the sensitive and confodential nature of the official documents, reports, and other materials I will examine in my capacity as a volunteer CASA Advocate. 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 policies, goals and/or philosophy of the CASA program and their desire to provide quality services to abused and neglected children,my services as a CASA volunteer will be terminated.

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