Volunteer Inquiry Form
Please complete the following form. A CASA representative will be in touch with you.

First Name      Last Name

Mailing Address

City     State MD PA      Zip

Phone Numbers   Work    Home    Cell

Email Address
 

Is it okay to contact you at work? Yes    No

If yes, Work Phone   

Email (if different from above)

Do you prefer to volunteer in the jurisdiction in which you live or in which you work? Live  Work

Have you ever volunteered with a CASA program in another
jurisdiction in Maryland or in another state? Yes    No

If yes, do you give permission for CASA of Baltimore, Inc to contact staff at that CASA program? Yes    No

Location of previous CASA program   Contact Person

How did you become aware of CASA of Baltimore? Poster/Flyer/Brochure Internet Newspaper Radio Television Other local CASA Program Maryland CASA Association National CASA Association Friend Other

If you learned about us on the internet, please tell us which website

If you learned about us in the newspaper, please tell us the name of the newspaper

Return to CASA Baltimore home page