Paragraph 4 I1

name, date and place of birth and address including local authority area;

a photograph and physical description;

nationality (and immigration status where appropriate);

racial origin and cultural and linguistic background;

if the prospective special guardian is—

details of any previous marriage, civil partnership, or relationship;

where the prospective special guardians wish to apply jointly, the nature of their relationship and an assessment of the stability of that relationship;

if the prospective special guardian is a member of a couple and is applying alone for a special guardianship order, the reasons for this;

whether the prospective special guardian is a relative of the child;

an assessment of the nature of the prospective special guardian’s current and past relationship with the child;

a health history of the prospective special guardian including details of any serious physical or mental illness, any hereditary disease or disorder or disability;

a description of how the prospective special guardian relates to adults and children;

previous experience of caring for children;

an assessment of the prospective special guardian’s parenting capacity, including:

where there have been any past assessments as a prospective adopter, foster parent or special guardian, relevant details as appropriate;

details of income and expenditure;

information about the prospective special guardian’s home and the neighbourhood in which he lives;

details of other members of the household and details of any children of the prospective special guardian even if not resident in the household;

details of the parents and any siblings of the prospective special guardian, with their ages or ages at death;

the following information—

details of any previous family court proceedings in which the prospective special guardian has been involved (which have not been referred to elsewhere in this report);

a report of each of the interviews with the three persons nominated by the prospective special guardian to provide personal references for him;

whether the prospective special guardian is willing to follow any wishes of the child or his parents in respect of the child’s religious and cultural upbringing;

the views of other members of the prospective special guardian’s household and wider family in relation to the proposed special guardianship order;

an assessment of the child’s current and future relationship with the family of the prospective special guardian;

reasons for applying for a special guardianship order and extent of understanding of the nature and effect of special guardianship and whether the prospective special guardian has discussed special guardianship with the child;

any hopes and expectations the prospective special guardian has for the child’s future; and

the prospective special guardian’s wishes and feelings in relation to contact between the child and his relatives or any other person the local authority considers relevant.