(Place your program logo, address, phone and fax, website information here)

CASA VOLUNTEER RECOMMITMENT FORM

On behalf of the (Insert name of program), we thank you for your dedication as a CASA volunteer and commend you for your efforts, advocating for the most needy children here in (Insert county name).

It has been awhile since you made your last commitment to continue as a CASA volunteer. Originally, you agreed to volunteer with the CASA program for a minimum of one year. Although we hope that you will be able to continue for a longer period, we realize that sometimes one’s life circumstances change. For that reason we are asking that you evaluate whether you are interested in recommitting your time to the CASA program for another year.

If you are no longer able to accept additional case assignments, you may very well be able to help the CASA program in another capacity. We would hope that you stay connected with the CASA program!

Please check off your area of current interest.

_____ I would consider another case in the near future.

_____ I have enjoyed being a CASA volunteer, but I am unable to commit to being a

CASA volunteer in the future.

_____ I would like to help CASA in other ways rather than taking cases. I would be

interested in:

___ Fundraising

___ Public Awareness

___ Office Assistance

___ Training Assistance

___ Other: _______________________________________________________

Additional Comments:

Name: _____________________________________ Date: ___________________

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