CASA Volunteer Application

Complete this on-line application or printable copy to mail or fax to the address below. Thank you for your interest and support.

Date of Birth:


Phone: (numbers only, ie: 7158364357)

Specify any other volunteer interests with CASA:

By submitting the above information, you assert that the information is true to the best of your knowledge and hereby give the Family Support Center permission to conduct criminal record and driver's license checks as required for their program.


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University of Wisconsin - Eau Claire
55 Brewer Hall
Eau Claire, WI 54702-4004

(715) 836-HELP
e-mail CASA