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Summer Volunteer Application 2016
Name __________________________________________________________________________________________
Mailing Address _________________________________________________________________________________
Street
City
Zip
Phone: (Cell) ______________________________ (Other:__________) _____________________________________
E-mail Address:
_________________________________________________________________________________
(IF APPLICABLE) Student Status: Fr
So
Jr
Sr
Other __________________________
High School: _________________________________
College: _____________________________________
College Major: _________________________________ Minor _______________________________
1. Briefly describe your experiences working with educational programs.
2. Briefly describe your experiences with ethnically and economically diverse students.
3. Why would you like to volunteer at Summer CASA?
4. Please list your hobbies, skills, or special training that may assist you in this volunteer position.
5. Name of Emergency Contact: _____________________________________________________________________
Relationship: ________________________________ Phone(s): ________________________________
Mornings Available to Volunteer:
M
T
W
TR
I speak another language:
__________________________
Times: __________________________
Preferred Grades:
Lower (1 – 3)
Upper (4 – 5)
I have a valid driver’s license
Please attach:
(1) Names of three references (non-family) with job titles, how you know this person, and contact information
(2) Resume, if available.
Overview
Summer CASA is a six-week, four day a week, morning program. Five classrooms of approximately 15 – 20 students are
taught by certified teachers, each assisted by a Teaching Assistant. Academics as well as personal and cultural
enrichment are emphasized. Volunteers are assigned to a class in order to provide valuable classroom assistance and role
modeling. While preference is given to those who are available for the full schedule, volunteers may select the days and
times that work best for them. For the sake of planning, we request that the schedule be followed once submitted to
CASA.
Summer CASA 2016 runs Mondays through Thursdays, beginning Monday, June 20 through Thursday, July 28.
Daily hours are 8:30 am – 12:30 pm.
A Volunteer Orientation will be held on the morning of Thursday, June 16
Volunteer Job Description
1.
2.
3.
4.
5.
6.
7.
8.
Attend Volunteer Orientation.
Offer energetic assistance to the classroom teacher, assistant, and other CASA staff.
Be prepared to work by signing in on time.
Encourage positive behavior in our children by modeling good listening skills and promoting an atmosphere of safety,
mutual respect, and acceptance.
Notify the CASA office if you will be late or unable to work on the day scheduled.
Treat sensitive information from or about your child in a professional manner and follow up with CASA staff.
Serve as role models for CASA students by promoting and displaying appropriate behavior and dress. Inappropriate
behavior, including public intoxication, use of illegal substances, abuse of legal substances, profanity, or harassment
will result in dismissal.
Promote the welfare of the CASA program by referring questions, concerns, or suggestions to the CASA staff.
I have read, understood, and agree to follow the above Summer Volunteer Job Description.
Signature________________________________________________________ Date____________________________
Publicity Release – All Applicants
I give permission for CASA to use my image (photos, digital, video), sound recordings of my voice, and any materials that I submit
during my affiliation with CASA.
Signature: ______________________________________________________________ Date ______________________
I have provided correct and truthful information in the volunteer application materials that I have submitted to CASA.
I also understand that I must pass a criminal background check to become a CASA volunteer.
Signature: ______________________________________________________________ Date ______________________
(IF UNDER 16 YEARS OF AGE) Parent Signature: ________________________________________ Date ________________
Please complete, print, sign, and return to CASA
Return application to:
263 College Avenue, Graves Hall, B-40
(616) 395-7944
casa@hope.edu
PO Box 9000
Holland, MI 49422-9000
www.hope.edu/casa