Join our Family

Date of birth *

Gender * Select a gender Male Female Non-Binary Prefer not to say

What local authority is or was responsible for you? * Select an authority 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 Scottish Borders Shetland South Ayrshire South Lanarkshire Stirling West Dunbartonshire West Lothian Western Isles Other/Unknown

Do you consider yourself to have a disability? Select a disability Yes No

How would you describe your ethnicity? Select a ethnicity White Mixed Race Black Caribbean Black African Black Other Asian Other Chinese Indian Pakistani Other

Address line 1 *

Address line 2

At the moment, where do you live? * Select a placement A residential unit/school In foster care With adoptive parent(s) With a relative (not your mum or dad) At home with my parent(s) In secure care In supported accommodation In my own home Homeless Other (please specify)

What kind of care experience have you had? (You can tick more than one box) * Stayed with parents and had a social worker (LAAH) Brought up by another family member (Kinship) In foster care In a residential unit/school In secure care Lived with adoptive parents

How did you hear about WCS Membership?

If applicable, the name of WC?S Staff Member who signed you up? *