COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. CLAY COUNTY FAMILY COURT CASA VOLUNTEER APPLICATION : (Print out app and mail to: CASA - 351 E. Kansas, Liberty MO 64068) JUDICIAL SUBPOENA Plaintiff(s) -against- : Name: __________________________________________________________________ : (last) (first) (middle) (maiden) : Address: ________________________________________________________________ Defendant(s) : ...................................................... If less than 3 years your previous address ________________________________________________________________________ Home phone: __________________________ Work phone: ______________________ THE PEOPLE OF THE STATE OF NEW YORK TO Pager or Cell Phone_______________________ May we contact you at work? ______ GREETINGS: Employment (Present and/or last position) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Employer: , the Honorable_______________________________________________________________ at the Court located at County of inAddress:________________________________________________________________ at any recessed room , on the day of , 20 , at o'clock in the noon, and (street) (state) or adjourned date, to testify and give evidence as a(city) in this action on the part of the (zip) witness Phone: ___________________ Dates Employed: from_________ to____________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Position held: ______________________ Supervisor: ___________________________ result of your failure to comply. Briefly list your job responsibilities: __________________________________________ Witness, Honorable , one of the Justices of the ______________________________________________________________________________ Court in County, day of , 20 __________________________________________________________________ Volunteer Experiences (Attorney must sign above and type name below) Organization: ____________________________________________________________ Attorney(s) for Address: ________________________________________________________________ Phone Number: _______________________ Supervisor: ________________________ Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Briefly describe a rewarding experience you had during the time that you volunteered for Plaintiff(s) : JUDICIAL SUBPOENA this organization: _________________________________________________________ -against: ________________________________________________________________________ : ________________________________________________________________________ : Defendant(s) : . .Organization:. .____________________________________________________________ ........... ....................................... Address: ________________________________________________________________ (city) (state) (zip) THE PEOPLE OF THE STATE OF NEW YORK Phone Number: _______________________ Supervisor: _______________________ TO Briefly describe a rewarding experience you had during the time that you volunteered for this organization:_________________________________________________________ GREETINGS: _______________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of _______________________________________________________________________you attend before , the Honorable at the Court located at County of inSpecial Skills , on the room day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Describe the skills, talents, and/or special training you possess that you believe would be an asset to the CASA Program: _____________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will _______________________________________________________________________make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. _______________________________________________________________________ Witness, Honorable Court in County, Brief Questions About Yourself day of , one of the Justices of the , 20 Can you make a commitment to this Program for at least one year? (Attorney must sign above and type name below) If no, please explain: ______________________________________________________ Do you have the following? Attorney(s) for Your own transportation: ____________ Liability Insurance: _____________________ Valid Driver’s License: ____________________________________________________ Office and P.O. Address What is your highest level of education? _______________________________________ What are some your Hobbies/Interests? _______________________________________ Telephone No.: Facsimile No.: How did you hear about the Clay County CASA Program? ____________________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Would you like us to keep your employer abreast of your volunteer service and achievement? : JUDICIAL SUBPOENA Yes No Plaintiff(s) Personal References -against- : : Please list two (2) professional and/or personal (not including relatives) references with complete address and phone number. (REFERENCES WILL REMAIN CONFIDENTAL) : Defendant(s) : . .# 1. -. Name: . _____________________________________________________________ .. ...... ......................................... Address: _______________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Phone Number: _______________________ Relationship: ______________________ TO # 2 - Name: ______________________________________________________________ Address: _______________________________________________________________ GREETINGS: Phone Number: _______________________ Relationship______________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Is there anything else you’d like us to know: ___________________________________ located at County of in______________________________________________________________________________ room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the ______________________________________________________________________________ ____________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. I assert that the information contained herein is, to the best of my knowledge, true and correct. I understand falsification herein will render my application void. Witness, Honorable Court in County, , one of the Justices of the day of _______________________________ Signature of Applicant , 20 _____________________________ (Attorney must sign above and type name below) Date Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE CIRCUIT COURT OF CLAY COUNTY, MISSOURI JUDICIAL SUBPOENA Plaintiff(s) FAMILY COURT DIVISION -against: CLAY COUNTY CASA PROGRAM : Permission to Contact References and : Complete Background Investigation Defendant(s) : . .I. hereby . . . . permission. to. the . . . . . County .CASA .PROGRAM to inquire about my qualifications . . . . . . give . . . . . . . . . . . . . Clay . . . . . . . . . . . . . . . . . . . and/or character by: • Contacting Personal References named in Volunteer Application THE PEOPLE OF THE STATE OF NEW YORK • Contacting present and/or past employers TO • • Contacting present and/or past organizations for which I have performed volunteer services Completing a background check with the Missouri Child Abuse/Neglect Hotline Central Registry GREETINGS: Further, I understand that the Clay County CASA Program will complete a background investigation on me through the Clay County Sheriff’s Department or WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before other appropriate and necessary law enforcement agency. , the Honorable at the Court located at County of INFORMATION NEEDED FOR CRIMINAL RECORD INVESTIGATION in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Last name: ______________________________ First name: ______________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party Name: ___________________________ for a maximum penalty of $50 and all damages sustained as a Middle on whose behalf this subpoena was issued result of your failure to comply. Race: __________________________________ Witness, Honorable , one of the Justices of the Gender: ________________________________ Court in County, day of , 20 Date of Birth: ____________________________ Social Security #: _________________________ (Attorney must sign above and type name below) State of Birth: ____________________________ Driver’s License #: ________________________ Attorney(s) for Aliases or other names used (maiden): ______________________________________________ Office and P.O. Address ___________________________ Signature of Applicant Telephone No.: Facsimile No.: __________________________ E-Mail Date Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com