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Get Support
Advocacy
The Helpline
Know Your Rights
Support from Corporate Parents
Join a Group
Who Cares? Scotland Kids
Events & Opportunities
Members’ Hub
More
About Us
Our History
Our Staff
Our Board
Get Involved
Work For Us
Volunteer
Fundraising
Donate
Become a Friend
Lifelong Rights Campaign
Action on Advocacy
Resources & Learning
Resource Library
Training & Support
Corporate Parents
Care Experienced History Month
Other
News & Blogs
Objects
Care Day
Care Experienced Week
Contact us
Become a member
Resource library
17 July 2022
Digital Wellbeing Report – July 2022
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Who is the advocacy for?
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Self
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First name
Last name
Date of birth
Gender
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Male
Female
Non-Binary
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Email
Telephone no
‘Note: this cannot be the same as the referrer’s phone number’
Placement
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Not care experienced
At home with parents
With friends/relatives
Foster carers purchased by LA
Foster carers provided by LA
Permanent placement with prospective adopters
In other community
In Local Authority home
In children’s home
In residential school
In secure accommodation
Crisis care
Other residential
Homeless
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In own tenancy/independent living
Prison
Which local authority is the social work department from?
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Aberdeen
Aberdeenshire
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Stirling
The Scottish Borders
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West Lothian
Western Isles
Other
Ethnicity
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White
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Asian Other
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Ethnicity Other
Disability
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No
I`d rather not say
Visual impairment
Hearing impairment
Learning disability
Developmental or neurodiverse condition
Physical disability
Mental health condition
Long-term illness, disease, or condition
Other
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Postcode
Find address
Address line 1
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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
First name
Last name
Email
Telephone no
Postcode
Find address
Address line 1
Address line 2
Address line 3
Town
Postcode
What's your relationship to the young person
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Third Sector organisation
Social Worker
Parent
Friend
Residential worker
Teacher
LAC nurse
Foster carer
Family member
Helpline
Scottish Govt. / DOLs
Other
By ticking here, you are confirming that the person you are referring knows you are making the referral and that you are sharing their details with us
Is there an upcoming meeting/hearing for which advocacy is needed
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Yes
No
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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