{"text":"THE CHURCH OF SCOTLAND \nCOMMITTEE ON SOCIAL RESPONSIBILITY \nAPPLICATION FOR ADMISSION TO CHILDREN\u2019S HOME. \nPlease complete in duplicate separate forms for each member of the family to be admitted. These should \nthen be returned along with medical forms (in duplicate) for each child and a full background report to the CHILDREN\u2019S \nHOMES SUPERVISOR, THE CHURCH OF SCOTLAND COMMITTEE ON SOCIAL RESPONSIBILITY, 121 GEORGE \nSTREET, EDINBURGH, EH2 4YN. Any school or Psychiatric reports available should also be sent so that as much \ninformation as possible may be given to the Houseparents-in-Charge with whom the application \u2018will be discussed. Further \ninformation about the Homes is given in the memorandum enclosed with these forms. \nPARTICULARS OF THE CHILD: \nFULL NAME OF CHILD:, ARG E LA ... CROSS v, KNOWNAS QNG 2 \nDATE AND PLACE OF BIRTH:, .., A& 3 6. o oM Do i \nPRESENT ADDRESS:...\ufb01l..q..Qf\\.f.\\?\ufb01.f.*.'\ufb02...l.\u2014.w?.q.t?...,..Cf.\\.'.\\!.f\\&r.\\)...\u00e9\ufb02m.b\u2019.\u2019.,......................... \nst ML R R ... APM(T\u2018N:QOMR&\/{O\/&!) \nNATIONALITY: (BK\\T\\&H: \nRELIGION: HAS THE CHILD BEEN BAPTISED? () ko wiJ \n\u00a900000060000000000000000000000000000000000000 0080000000000 \nSCHOOL ATTENDED AT PRESENT: (A TLEBRAE it \nHAS CHILD PREVIOUSLY BEEN IN CARE? .\u201d\\{\u2018t\u2018. \nebooidooco00c0svone eoeecvoe \nDETAILS OF PREVIOUS HOMES OR RESIDENTIAL SCHOOLS OR FOSTER HOMES: |11 #}.= 3198 Fosmer \n.H.c.mei..mvs:'m&?\u00e9s.}..q..'.\u2018?z.\u2018?rsf.r.-.13;.2..'&9..&<.>s.sf.rsz..\u00a2w.em.m>\u00e9.. ML\u2019,\/MW(N\u00ab\u2019SS\/ \n122300080, Fosau k. e, JNOERESS, } 15:897, 276,51, Rasc pewd, . Conngens. . fHoris, \nSOCIAL WORK ACT AND SECTION: .\\ \u00a2t k.. WORIS. . Scorzawd AT, (96\u00a7, Seced . 44 I(n) \nREASON(S) FOR ADMission: | [ e LIS ef, Parootat.,. CArE. .. BRaKRowa. ... \nS DA e T T RN e, \n5000000000000 00000000000000000000000000000000000000000000000000000P000000000000000000000000000000000000800000000000 \nPARTICULARS OF THE PARENTS: \nFATHER (R ;\u2018&;D) MOTHER \nFULL HAME i am CRos S Ppre. Crosc \n. ADDRESS X \u2018% M Dow AtD \nAR G MILLAR \n3\/4 \u00a2 i Ao lecHALSH Rorp \nCARTLE hoAN (A2 L ER NV ESS \nDATE OF BIRTH 1. 16 4 YN A Ll\u2018g \nMARITRL STATUS Sep ARATED Serar AT \nCOUNTRY OF ORIGIN %fl\\\u2018m\ufb02u N (-Z)R 1L \nPary Timy [HeoSe K sePeR] \nKSR Lanoor R ARt Time_oericke Crerng \nIf parents are separated or divorced give details of any Court Orders relating to custody of, or access to, \nthe child. \no CouRy QRO 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