CASA of Allegany County

To apply, either download the application to print by clicking 'Download PDF' or fill out the application online below.


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*Last
*First
Middle
*Street
*City
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*Zip Code
Street
City
State
Zip Code
*Home Phone
Mobile Phone
Work Phone
Work Extension
Email Address
*Date of Birth






CASA of Allegany County reserves the right to make any background checks deemed appropriate as to the suitability of its volunteers. All information obtained will be held in the strictest confidence. Any volunteer applicant who refuses to submit to/ sign release of information for background checks is not considered for participation as a CASA. Any volunteer applicant found to have been convicted of, or having charges pending for a felony or misdemeanor involving a sex offense, child abuse or neglect, or related acts that would pose risks to children or the CASA program’s credibility is not accepted as a CASA volunteer.

By typing my name in this box, I confirm that I understand and agree to the above statements. This shall have the same force and effect as my written signature.