Special Guardians Preparatory Workshops Referral Form

Referrers Information:

Please note, you need to press the submit button at the end of this form to ensure you have referred the special guardian.

Name of Local Authority:

Name of Programme

Date of Referral:

Your First Name:

Your Last Name:

Job Title:

Your email:

Your contact number:

Kinship Carers Information:

Has this carer been referred to Kinship Ready before?

What is the reason the kinship carer is being referred again? [Tick one]

First Name:

Last Name:

Carer email:

Contact number:

Preferred method of contact?

Address:

City:

Postcode:

Date of Birth (in this format - 19/06/1965)

Gender:

What is the carer's ethnicity?

Sexual Orientation:

Is the carer a perspective Special Guardian:

Are the kinship children already living with the carer?

How many kinship children are in their care?

How many birth children are in their care?

Please tick the workshop date the carer would like to attend: (Pick one)

Is there any additional information that we might need to know that will help us support the kinship carer attend the workshop i.e. childcare commitments, diversity needs? All information is confidential.

Would the carer feel confident in participating in the workshop remotely?

Permissions and consent

I confirm that the carer named above has given consent for me to share the above details

with Kinship for the purpose of the preparatory workshops:

I confirm that the carer named above has given consent for Kinship to contact them for the purpose of the preparatory workshops through the preferred method of contact above.

Data protection:
Kinship is committed to making only responsible use of your and the carer’s data. The information you share with us will only be used to respond to you or the carer named above directly by our experts.

We will not share your or the carer’s data with any 3rd parties. For further details you can view our privacy policy at https://www.kinship.org.uk/privacy-policy

I confirm I agree with Kinship’s data protection policy.

Professionals Network:

I would like to join the Professionals Network. (If you choose yes, you'll receive emails about events, best practice, new reports, and other relevant information about kinship carers.)

Please press the button below to submit.