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« All Events
This event has passed.
The Gatehouse, Musselburgh, EH21 7JY
10 October @ 8:06 am
Age group:
Location:
Audience:
Details
Date:
10 October
Time:
8:06 am
Category
Venue
The Gatehouse, Musselburgh, EH21 7JY
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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
Transgender
I’d prefer to use my own term
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Ethnicity
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White
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Black Caribbean
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Asian Other
Chinese
Indian
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I`d rather not say
Other
Ethnicity Other
Email
School Name
Telephone no for young person (if 12 or over), or person with parental rights - include name - if 11 or under
‘Note: this cannot be the same as the referrer’s phone number’
Who is phone number for?
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Parents
Carers
Keyworker
Other
Placement
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Not care experienced
At home with adoptive parents
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With friends/relatives
Foster carers purchased by LA
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Which local authority is the social work department from?
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Aberdeen
Aberdeenshire
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Stirling
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West Dunbartonshire
West Lothian
Western Isles
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England
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Northern Ireland
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
Other
Postcode
Find address
Address line 1
Address line 2
Address line 3
Town
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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
England
Wales
Northern Ireland
Is this referral related to a Child Protection Process?
Please select
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
Please select
Third Sector organisation
Social Worker
Parent
Friend
Residential worker
Teacher
LAC nurse
Foster carer
Family member
Helpline
Scottish Govt. / DOLs
Bairns Hoose
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
Please select
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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