Qualifications and Personal Information

Thank you for your interest in the Macon County CASA program. Please complete the following application. You will need to provide the names and physical and email addresses of three (3) references. You will also need your DL# and Insurance information. All information provided is secure and confidential. Please note that you must complete the application in its entirety. You will not be able to save it and return to it later.

Please correct the following errors:
Qualifications
I am 21 years of age or older. YES NO *
I am not a foster parent or prospective adoptive parent for a child(ren) whose case is currently with the Illinois Department of Children and Family Services, unless I am related to the child(ren) YES NO *
I am a US Citizen or a legal resident. YES NO *
Personal Information
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Male Female Other/Decline *
Open the calendar
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