VFC CASA Application – Returning Volunteer Step 1 of 7 14% VFC CASA Application - Returning VolunteerCourt Appointed Special Advocate (CASA) Program of San Diego CountyThis application is for returning CASAs and trainees who have been inactive for one to two years. If you are a returning volunteer who has been inactive for more than two years, please complete our standard CASA Volunteer application. If inactive for less than one year, please email email@example.com or call 858-598-2230. The information on this form will help us reaffirm your eligibility to serve as a volunteer Court Appointed Special Advocate for Voices for Children, San Diego County’s designated CASA organization. Please read the directions carefully and complete all sections of the application as thoroughly as possible. All information provided to Voices for Children is strictly confidential and for internal use only. Your InformationFirst Name* Middle Initial*If you do not have a middle name, please enter "N/A."Last Name* Maiden Name/Nickname/AKAHome Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work PhoneCell PhonePreferred phone numberEmail* Emergency Contact (phone, name, relationship to applicant)*Why are you interested in returning to Voices for Children?* Education & Work ExperienceAre you a current undergrad student?*YesNoPlease provide name of school and expected graduation date. Please also share any post-graduation plans to relocate outside San Diego County.Are you a current or prospective graduate/law student?*YesNoPlease provide name of school, program, and expected graduation date. Please also share any internship/field practicum plans or experience, as well as any plans to relocate outside San Diego County.Current employment*Please provide the name and location of your employer, as well as your job title and approximate start date. If you are unemployed, please enter "N/A."Please describe any work or volunteer experience with foster children and/or their families in the last two years.*If you know any children currently in foster care or anyone who currently works or volunteers with foster children, please list their names, your relationship to them, and, if applicable, in what capacity they interact with foster children.*Please list any community service organizations or clubs to which you currently belong.* Commitment & Time AvailabilityPlease describe your current schedule and availability. (Consider work, school, and other commitments, such as volunteer work, extracurricular activities, and family obligations.)*Please describe how flexible your daytime schedule is. Consider whether you're able to adjust your hours and how easy it would be to do so; how much notice you'd need to get time away from daytime commitments or work, if applicable; and, generally, how long are you able to be away from your place of employment, etc. during standard business hours (9-5).*Once per month, a CASA may need to adjust their schedule to accommodate a meeting or visit on a different day or time than they had routinely established. Please indicate any timeframes in which you would NEVER be able to do so due to commitments that are firm and not flexible.* A weekday morning A weekday afternoon A weekday evening A Saturday or Sunday I could shift my schedule during any timeframe once per month. Please share any concerns or time constraints you may have. DisclosuresHave you lived outside of California in the past 7 years?*YesNoPlease list to the best of your ability all of your addresses outside of California and/or the U.S. for the past 7 years. For each, please include dates of residency. If you have lived outside the U.S. in the past 2 years, please specify current U.S. citizenship status (permanent resident, visa, green card, etc.)If you do not have entire address details at this time, please list at a minimum the cities, states, and approximate dates you lived there. Complete physical addresses will be required on the first day of training in order to complete the proper background checks. (Tip: you can obtain your addresses from your credit report.)I am (or have been) involved with Child Protective Services, or Child Welfare Services, in California or another state.*YesNoPlease explain.Within the past two years I have been convicted of a misdemeanor or a felony in California or another state.*YesNoYou must disclose all convictions, including reckless and drunk driving convictions, even if it happened a long time ago; it was only a misdemeanor; you didn't have to go to court (your attorney went for you); you had no jail time or the sentence was only a fine or probation; you received a certificate of rehabilitation; the conviction was later dismissed, set aside, or the sentence was suspended.Please state the charge and date of each offense, as well as any additional details you would like to share.*If you have a criminal conviction, it may or may not eliminate you from consideration.Within the past two years I have been directly involved with a court proceeding in California or another state.*YesNoPlease explain.If I volunteer with Voices for Children, I would agree to (please check all that apply):* Be a volunteer for a minimum period of 18 months Participate in ongoing supervision and training meetings Maintain confidentiality regarding all court cases Submit to a fingerprint-based criminal index and investigation background check (including FBI, DOJ, Child Abuse Central Index and Megan's Law sexual offender registry) Have at least 2 years driving experience and maintain a valid driver's license Provide verification of auto liability insurance before working directly with children Provide a report of my DMV history before working directly with children Please list any concerns you might have about the above items.Please note: 1) For prospective volunteers who have not lived in the State of California for the past 5 years, VFC will conduct a background check in the previous state(s) of residency. 2) Any prospective volunteer found to have been convicted of, or having charges pending for, a felony or misdemeanor involving a sexual offense, child abuse or neglect, or related acts that would pose risks to children or the CASA Program will be rejected. Optional Demographic DataThe following information will be used for statistical reporting purposes only. All information provided by you will be kept confidential. Please check all that apply in each category. Voices for Children is an Equal Opportunity organization and does not exclude applicants on the basis of race, color, religion, national origin, ancestry, gender, sex, gender identity or expression, age, medical condition, sexual orientation, marital status, citizenship, pregnancy, physical or mental disability, genetic information, veteran status, caregiver status, or any other characteristic protected by law.Gender Male Female Transgender Other gender identity/expression Please specify.What is your preferred pronoun?Language(s) Arabic Chinese English French German Hindi Italian Japanese Korean Persian Portuguese Russian Somali Spanish Tagalog Vietnamese Other Please list the other language(s) you speak.Employment Status Employed Full-Time Employed Part-Time Not employed but looking for work Not employed and not looking for work Homemaker Retired Student Other Please describe your employment status.Marital Status Single Married Separated Divorced Widowed Other Please indicate your marital status.Education High School AA/AS BA/BS JD MA/MS PhD/EdD Other Please describe any additional education.Military Status Active Reserve Veteran National Guard Spouse Dependent ROTC Retired Former Other Please describe your military status.To the best of your knowledge, do you currently have any transfers or deployments scheduled within the next 2 years?Voices for Children understands that unexpected commitments can arise in the course of active duty, and we will do our best to help accommodate unforeseen circumstances.To the best of your knowledge, does your family currently have any transfers scheduled within the next 2 years? Are there any other special situations or pending circumstances you'd like to share?Voices for Children understands that unexpected commitments can arise in the course of active duty, and we will do our best to help accommodate unforeseen circumstances.Race/Ethnic Origin White/Caucasian Hispanic/Latino Black/African American American Indian or Alaska Native Asian Indian Chinese Filipino Japanese Korean Vietnamese Other Asian Native Hawaiian Guamanian or Chamorro Samoan Other race/ethnicity Please describe your ethnic origin. Sign and CertifyI certify that the information provided by me in this application is true and correct to the best of my knowledge and I agree to have any of my statements verified by Voices for Children unless I have indicated to the contrary. I certify that I understand that volunteer placement is a selection process and that not all applicants are accepted into the program. I understand that volunteers are selected based on individual ability to meet the responsibilities of the CASA Program. I also understand that because of the confidential nature of the screening process, Voices for Children is not obligated to disclose to me reasons for any decision concerning my acceptance or non-acceptance into the program. Furthermore, I understand that Voices for Children has to consider the best interests of the children first when matching them with CASAs. Thus, I understand that the agency is not obligated to assign to me a child and that submission of this application in no way obligates me to perform volunteer services.* I agree to and accept the terms and conditions above.