YesNo
Supported shared housingSupported self contained accommodationLocal authority accommodationBed and breakfast with supportFamily homeFriend’s / relations home with supportFoster care / supported lodgings
AsthmaADHDEpilepsyDyslexiaDiabetesLearning DifficultiesHay feverDisabilitiesOther
Full TimePart Time
THE INFORMATION THAT WE REQUEST FROM YOU HELPS US TO CARRY OUT A RISK ASSESSMENT AND TO MAKE SURE WE ARE MEETING YOUR NEEDS WHILE OUT ON REPARATION. In accordance with the new General Data Protection Regulation 2018 and the Data Protection Act 2018, Catch22 requires your consent to conduct referrals to support your needs identified within the initial assessment. By signing below you consent that all relevant and appropriate information can be shared by your Reparation Officer & Reparation Manager with all internal and external agencies such as Bristol Youth Offending Team, Reparation Projects and any Safeguarding professionals. Due to the nature of the work completed by Catch22, your Reparation Manager will be in contact with your Caseworker regarding attendance and behaviour whilst on Reparation and any safeguarding disclosures. I understand that I have agreed with my Reparation Manager/Officer Referrals can be made and information can be shared as stated above. I understand that the information is being shared with a view to ensuring and assisting my continuity of care in the community. I understand that Catch22 will keep all information gathered in a secure environment and for only as long as necessary, adhering strictly to all requirements of the General Data Protection Regulation 2018 and the Data Protection Act 2018. However once the referring agency is in receipt of your information they will become the Data controller and hold your information going forward. ALL PAPERWORK IS SHREDDED AFTER REPARATION IS COMPLETED