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11 November 2021
Communities that Care – Belonging
Video
Belonging
,
Communities that Care
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Who is the advocacy for?
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Gender
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‘Note: this cannot be the same as the referrer’s phone number’
Placement
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Not care experienced
At home with parents
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Foster carers purchased by LA
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Aberdeen
Aberdeenshire
Angus
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Clackmannanshire
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Dundee
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East Dunbartonshire
East Lothian
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Orkney
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Stirling
The Scottish Borders
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Disability
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I`d rather not say
Visual impairment
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Other
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Geographical Local Authority
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Aberdeen
Aberdeenshire
Angus
Argyll and Bute
Clackmannanshire
Dumfries and Galloway
Dundee
East Ayrshire
East Dunbartonshire
East Lothian
East Renfrewshire
Edinburgh
Falkirk
Fife
Glasgow
Highland
Inverclyde
Midlothian
Moray
North Ayrshire
North Lanarkshire
Orkney
Perth and Kinross
Renfrewshire
Shetland
South Ayrshire
South Lanarkshire
Stirling
The Scottish Borders
West Dunbartonshire
West Lothian
Western Isles
Other
Is this referral related to a Child Protection Process?
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Yes
No
If the young person received advocacy in the past, let us know who their advocacy worker was
Briefly, tell us why you think the young person needs advocacy
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Address line 3
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What's your relationship to the young person
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Is there an upcoming meeting/hearing for which advocacy is needed
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Date of upcoming meeting/hearing
Is Young person address is a non-disclosure address
Please explain why you are sharing a non-disclosure address and advise whether it is safe for us to visit the child/young person there. If it is not appropriate to share the non-disclosure address, please put c/o referrer in the address box in Section 2
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