Refugee Children Vulnerability Assessment Sheet
Child Information
Full Name
Age
Gender
Female
Male
Other
Date of Birth
Country of Origin
Date of Arrival
Caregiver / Guardian Information
Full Name
Relationship to Child
Contact Number
Vulnerability Assessment
Unaccompanied/Separated
Unaccompanied
Separated
With family
Disability
Yes
No
At Risk of Abuse/Exploitation?
Yes
No
Other Vulnerabilities
Health & Nutrition
Health Needs
Nutrition Status
Education
Current Education Level
School Name
Comments / Observations