Member Application Form

Gender

Race

Hispanic

Age

Family Income:

Education:

Employment:

Are you a foster parent?

Are you a Court Appointed Special Advocate (CASA):

Are you, or have you ever been, involved in a child abuse or neglect case as either an alleged perpetrator, witness or victim?

In submitting this application, I understand that application requirements include interviews, reference and background checks, confidentiality agreements and online/in-person training. I further acknowledge that submitting an application does not ensure acceptance as a SCAC member.

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