Volunteer Reference Questionnaire

Thank you for being a reference for a potential CASA volunteer! CASA’s (Court Appointed Special Advocates) are appointed by judges to “speak up” for children who are victims of abuse or neglect.  The CASA volunteer assesses what is in a child’s best interest and makes recommendations to the court regarding placement and services.  It is very important that you openly and candidly give your views about this applicant since a child’s welfare may be at stake.  Your information will help us to evaluate the applicant’s suitability to serve as a CASA volunteer.

All information received will be kept strictly confidential.

(Please enter the name of the person who has applied to be a CASA volunteer)
Your Name *
Your Name
Your Address *
Your Address
How does the applicant relate to youth in general? *
Check all that apply
How is the applicants relationship with people in general? *
Check all that apply
Check all that describe the applicant: *
Describe the applicant's temperament: *
Check all that apply
By checking this box, you are certifying that everything provided here is true and correct to the best of your knowledge. *