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My Young Carers StatementLoading...
safe - healthy - achieving - nurtured - active - responsible - respected - included
Things in my life that are important to me:
Personal circumstances:
Personal circumstances cover what your life is like, including who you live with, things you like doing and what you normally do each day.
Personal circumstances cover what your life is like, including who you live with, things you like doing and what you normally do each day.
Name:
DOB:
My School:
Where I live?
DOB:
My School:
Where I live?
Age I started caring? Who I look after?
How do I care?
How I feel about my caring role?
How do I care?
How I feel about my caring role?
Personal outcomes: What are your aims, goals or hopes?
This could be something like wanting to be able to spend more time with your friends or feeling more supported at school.
This could be something like wanting to be able to spend more time with your friends or feeling more supported at school.
What is the impact of caring?
would you like help?
would you like help?
safe - healthy - achieving - nurtured - active - responsible - respected - included
Identified needs:
What do you need to achieve your goals or personal outcomes. You might already know what some of these needs are or you might need to have a chat with a support worker to decide them.
What do you need to achieve your goals or personal outcomes. You might already know what some of these needs are or you might need to have a chat with a support worker to decide them.
Impact of caring?
would you like help?
would you like help?
safe - healthy - achieving - nurtured - active - responsible - respected - included
This is a wellbeing wheel. Rate how you feel from 1 to 5 in each section. 5 is 'superhero' 1 is 'not very'
Me just now...
Things to think about....
How's your attendance at school?
Do you manage homework?
Are you tired at school?
How do you get to school?
Do school know you are a Young Carer?
How is your health?
Are you physically ok?
What about your mental / emotional health?
Do you need more help?
How's your attendance at school?
Do you manage homework?
Are you tired at school?
How do you get to school?
Do school know you are a Young Carer?
How is your health?
Are you physically ok?
What about your mental / emotional health?
Do you need more help?
What are your goals for the future?
Is there anything you would like help with?
Is there anything you would like help with?
If things don't quite go to plan, what help might you need and who might help you?
Who would you like this statement shared with?
If you are not sharing this with school, you can still share it with a Young Carer Centre or trusted adult. You can print this statement or share digitally. It is your choice.
If you are not sharing this with school, you can still share it with a Young Carer Centre or trusted adult. You can print this statement or share digitally. It is your choice.
Please choose who you would like to sign this statement:
Young Carer...
Parent/Carer...
School / Support Worker...
Over time, things may change, when would you like the review date to be?
Young Carer...
Parent/Carer...
School / Support Worker...
Over time, things may change, when would you like the review date to be?
