West Northants Council : Finding the right advice

Are you filling this form in for...?

Someone else Yourself

Who is this about?

A child or young person (0-25) An expectant parent A teenage parent A family member in need of support An adult not in need of family services Other

Please specify:

What is your relationship with the person?

I am a parent I am a carer (for example: foster carer, special guardian, kinship carer) I am a family member but not a parent I am a friend I am a professional

Are you a solo parent?

Yes No

What type of professional are you?

Teacher Doctor Councillor Social Worker Other

Please specify:

Enter the age of the person you are filling this form for Age

Enter your age Age

Who are you?

I am a professional I am a parent I am a carer (for example: foster carer, special guardian, kinship carer) I am a young person filling this out for myself I am currently pregnant and hoping for support I am a care leaver Care experienced young person I am a young person on a CIN/CP Plan Other

Please specify:

What type of professional are you?

Teacher Doctor Councillor Social Worker Other

Please specify:

Are you a solo parent?

Yes No

Are you currently in full time education?

Yes No

Which of the following apply to you? (select all that apply)

I am currently pregnant and hoping for support I am a young person in care Care experienced young person I am a young person on a CIN/CP Plan I am a young person in education I am a young person not currently in education I am a young person living alone Other

Please specify:

Are you filling out this form because you feel unsafe?

Yes No

Do you have support filling out this form?

Yes No

Would you like to speak to a person?

Yes No

Here are some ways you can speak to someone who can help

Phone: Call customer services at 0300 126 7000
Childline webchat (under 12): Childline
Childline webchat (any age): Contacting Childline
Family Hubs: Find your nearest Family Hub
Online contact form: Contact us online

Is there an adult helping you fill out these questions?

Yes No

Are you currently living in care? (i.e. with your foster parents or guardians)

Yes No

Talk to a person

Here are some ways you can speak to someone who can help:

Phone: Call customer services at 0300 126 7000
Childline webchat (under 12): Childline
Childline webchat (any age): Contacting Childline
Family Hubs: Find your nearest Family Hub
Online contact form: Contact us online

Would you like to talk to a person?

Yes No

Are you filling in this form because you feel unsafe where you are?

Yes No

Safeguarding Support

If you are in immediate danger, please call 999.

If you feel unsafe, there are people who can help you right now:

Customer services at the council: Call 0300 126 7000
Childline webchat (under 12): Childline
Childline webchat (any age): Contacting Childline
NSPCC Helpline: Call 0808 800 5000
West Northants MASH: Call 0300 126 1000

You can also report concerns online at West Northants Safeguarding.

What would you like help with? Select all that apply

School and Education Wellbeing and Mental Health Physical Health and Personal Care Looking After Yourself Money and Employment Family Support Socialising and Making Friends New to West Northants

School and Education - Which area specifically?

School admissions and applications Making arrangements with schools Supporting regular school attendance Addressing behaviour challenges at school Working with schools to meet additional needs (for example: SEND)

Is the person in care or a care experienced young person?

Yes No