​COURT APPOINTED SPECIAL ADVOCATE
    VOLUNTEER & EMPLOYMENT
    APPLICATION

       
    545 W. Umpqua St., Suite 2
    Roseburg, OR 97471
    Phone: 541-672-7001
    Fax: 541-440-3880
    Case Preferences, if assigned:
    ​Background:
    Any 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 will not be accepted as an employee or as a volunteer. 
    (If an applicant is found to have or provides information about having voluntary case history at CWP, CASA will deny your application. If you want to pursue your application, you must provide to CASA the intake social history/risk assessment and the closing narrative which will indicate the results of those voluntary services. If the applicant has sought help and successfully utilized that to help remedy a situation not to be considered the result of abuse or neglect by the applicant or applicant's family, CASA will consider the information contained in these narratives to decide whether to proceed toward CASA certification.)
    Employment Information (at least 10 years) or upload a resume below:
    You may have more employers to add, if so, attach a resume here.
    Max file size: 20MB
    References:
    Please list four references, the references must be from persons unrelated to you. Preferred references needed: One personal (someone who is not related to you); two professional; and one volunteer reference, if you have volunteered for other organizations.
    1) Personal (not related):
    2) Professional:
    3) Professional:
    4) Volunteer:
        
    Max file size: 20MB
        
    I CERTIFY THAT ALL THE ABOVE IS TRUE AND CORRECT. I UNDERSTAND THAT IF AN INVESTIGATION DISCLOSES UNTRUTHFUL OR MISLEADING ANSWERS, MY VOLUNTEER APPLICATION MAY BE REJECTED OR MY VOLUNTEER POSITION TERMINATED.
    I have read and understand the volunteer job description found here and understand the program's expectations of volunteers.
    I consent to the CASA of Douglas County program verifying my background by checking references and running a criminal and driving history check. 
    I further understand that my participation in the training and/or interviewing process does not commit the Court to appointing me to the CASA program.
    Equal Employment Opportunity
    CASA of Douglas County will provide equal employment opportunity without regard to race, color, sex, age, disability, religion, national origin, marital status, sexual orientation, ancestry, political belief or activity, or status as a veteran. 

    The policy applies to all areas of paid and unpaid employment, including recruitment, hiring, training, and development, promotion, termination, layoff, compensation benefits, social and recreational programs, and all other conditions and privileges of employment in accordance with applicable federal, state, and local laws.