Piedmont CASA ...​"I Am For the Child!"
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    Piedmont CASA Application

    If you are interested in becoming a Court Appointed Special Advocate in the Piedmont region, please fill out this application and click submit.  The application help us get to know you better.  Once we have received the application, we will contact you with further information.  If you would prefer to fill out a paper copy of the application please click here you can mail it back to us or scan it and e-mail it.  Please note, this application does not have signature capabilities, at the first training date or during your interview you will receive an application to sign as well. 

    All fields in this application are required.  If you decide after submitting an application that you no longer wish to be a volunteer with Piedmont CASA, please e-mail us and we will remove your contact information from our list.
    Street name and number, city, state, and zip code
    All CASA Volunteers must be 21 years or older.

    Employment Information: 

    Can include start date and end date or years, please round to nearest month.

    Applicant Information: 

    Please select days of the week that apply and the time of day that applies, ex: Mondays, Wednesday, and Saturdays, mornings, afternoons

    References: 

    Please list two (2) personal references (only one from a family member) AND two (2) professional references (salaried or volunteer work) 
    Reference #1: 
    Reference #2:
    Reference #3: 
    Reference #4: 

    Additional Information: 

Submit
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                                                                                      Piedmont CASA, Inc.
                                                                                 163 Martin Luther King Jr. Dr
                                                                                      Winder, GA 30680
                                                                                        (470) 429-5055
                                                                                               Email Us 
                                                               Mailing address: P.O. Box 605 Jefferson, GA 30549

                                                                 © 2015 Piedmont CASA, Inc.  All Rights Reserved.
                   Website by MURCON (Murphy Consulting, Inc.)
  • Home
  • OUR WORK
    • About Us
    • THE CASA/GAL MODEL
    • Staff
    • Board of Directors
    • Annual Report
    • FAQs
  • OUR IMPACT
  • Get Involved
    • Become a CASA Volunteer
    • Partners
    • BECOME A PARTNER
    • Donate
    • Current CASAs
    • Online Application
  • -News & Events
    • Volunteer Training Classes
    • Find Help GA
    • Calendar
    • HFC GALA 2025
  • Gallery
    • HEART FOR CHILDREN GALA 2025
    • Heart for Children Gala 2023
    • 2022 Volunteer Appreciation
    • 2021 Volunteer Appreciation
    • 2019 Volunteer Appreciation
    • Heart for Children Gala 2019
  • Contact Us