Child Advocacy Studies Application

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First Name

Last Name

Mailing Address

Apt #, etc.

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

KSU ID #

*Student KSU Email

Phone

Current Major

Concentration

Expected Graduation Date

Cumulative GPA

How did you find out about the CAST Certificate?

Undergraduate CatalogWord of MouthWebsiteThrough Human Service CourseThrough a KSU EventOrientationAttended an EventVia Child Advocacy Center personnel

Other (Please specify):

Please type (or copy/paste from Word, etc.) a 150-word essay addressing this question: Why are you interested in receiving the CAST Certificate? In your response, please address how you see this certificate helping you in your current and/or future career plans?

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*After sending this form, please email a copy of your current resume, and completed background check to: CASTApplications@kennesaw.edu

Kennesaw State University
Department of Social Work and Human Services
CAST Program
Attn: Dr. Jennifer Wade-Berg
520 Parliament Garden Way Northwest, #4103
Kennesaw, GA 30144-5591