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Friends of CASA


Friends of CASA Application
First Name *
Last Name *
Address Line 1 *
City *
State/Province *
Postal Code *
(if no employer, please indicate your current status i.e. unemployed, retired, n/a)
(necessary to conduct background checks)
(necessary to conduct background checks)
(name, relation, contact numbers, email address)
What is the highest education level you have achieved?
By completing this application and checking the box below, you are acknowledging that all volunteers must submit to reference checks, background checks, and sign an oath of confidentiality successfully prior to conducting work with CASA.
My electronic signature appears above and this submitted application has been completed to the best of my ability without error. Furthermore, by submitting this application you agree to allow CASA of Northeast Kentucky, Inc. to conduct any and all necessary reference and background checks on your behalf.