Toonspeak Child Welfare Concern Form

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A report should be made by the person who has had the initial concerns about a child’s welfare using this form.

Your duty is simply to report concerns. It is not your responsibility to try and fix issues.

If the child is perceived to be in immediate danger, the Toonspeak team member working with the young person should contact the appropriate Social Work dept/ police, and also complete this form.

The form should be filled in even if there is a concern rather than an actionable & immediate risk to safety. The purpose of this form is to record your concern, and ensure information can reach the people with the expertise to deal with Child Protection issues, rather than make any investigation or judgement call pertaining to a child or young person’s situation (unless in clear and immediate danger).

Avoid asking leading questions or attempting to investigate, this is a record of observation and/or disclosed information.

Your Name *

Young Person's Name *

Why are you completing this form? *

A participant disclosed something to me

I have observed / seen / heard or suspected something which gives me concern for a young person's well-being

Other:

Event / Workshop / Project

Please give the name and location of the project the participant is taking part in, where a disclosure was made, or you had reason to be concerned

When did this happen?

Please give the date of the disclosure or of your observations which led to this report.

YYYY

Your Role / Title

I.e Workshop Leader / Assistant

Outline the reasons for concern *

Please give as much detail as necessary. Please distinguish between what you saw or heard, what you were told, and what you think or suspect.

If you did or said anything in response to your concern or a disclosure, please give details

Please give as much detail as necessary. Please distinguish between what you saw or heard, what you were told, and what you think or suspect.

If anyone else was involved, tell us who and how they were involved?

Submit

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This form was created inside of Toonspeak Young People's Theatre. Report Abuse

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