CASA of Westmoreland

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CASA Volunteer Application

Thank you for your interest in becoming a CASA Volunteer! Please verify accuracy all fields before submitting. For your convenience, a printable version of the CASA of Westmoreland Application are provided below (An 18 month minimum commitment is required for our volunteer program).

You may drop off or mail your packet to:
CASA of Westmoreland
2 N. Main Street
Greensburg, PA 15601
(724) 850-6874
Printable Form

Personal Info

(* required fields)








































Current Marital Status









Children's Names














Emergency Contact





Employment History





























Education

Select Highest Completed











Personal










Have you or your family had personal/professional experience with:

























Please answer the following questions and give details if answer is yes:





















Please respond to the following:













References

Please provide COMPLETE contact information for three non-family references that have known you for at least one year.













































































Background Check




Captcha: (please answer the following question to submit your request)
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