Address: CASA of Lancaster County
1905 Old Philadelphia Pike
Lancaster, PA 17602
Phone: (717) 728-2372
Web: www.casalancaster.org
Email: casa@casalancaster.org
Volunteer Advocate Reference
You have been asked to provide a reference for _________________________________ who is applying to become a volunteer with the Lancaster County Court Appointed Special Advoate (CASA) program. A CASA volunteer is a trained community member that provides advocacy in court for abused and neglected children. This position requires an average commitment of 10-15 hours per month and at least an 18-24 month commitment on the part of the applicant.
Should the following information be kept confidential from the applicant? Yes No
Please give your appraisal of the applicant on each of the following:
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Below Average
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Average
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Above Average
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Outstanding
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Unable to Rate the Applicant
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Responsibility
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Dependability & Consistency
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Sensitivity to Other’s Needs
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Desire to Help
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Focus on Children
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Ability to Handle Constructive Criticism
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Ability to Abide by Rules
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Would you trust the applicant to advocate for your child(ren) or a child(ren) close to you?
Yes No
Please indicate your level of support for this applicant and his/her endeavors as a CASA volunteer?
Not supported Supported with Reservation Supported
Please explain: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Your name:_______________________ Preferred day time phone number:__________________
Address:_______________________________________________________________________
In what capacity do you know the applicant? __________________________________________
How long have you known the applicant? ___________________
Any additional comments: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________ ________________________
Your Signature Date