Intake Form: Supporting Student Gender Identity

Instructions: The school administrator, counselor, or psychologist should complete this form with the student. Parents/guardians may be involved if the student states that they are aware of and supportive of the student’s gender identity. This form should be kept in a secure, confidential location. See distribution information on Page 2. This form is not to be kept in the student’s cumulative or confidential folders. All plans should be evaluated on an ongoing basis and revised as needed. 

Intake Form: Supporting Student Gender Identity	85 K	English
Formulario de Toma de Datos: Apoyo a la Identidad de Género de los Estudiantes	70 K	Spanish
Formulaire d'admission : Soutien à l'identité de genre des élèves	68 K	French
Mẫu Thâu Nhậ n: Hỗ Trợ Nhận Dạng Giới Tính của Họ c Sinh	137 K	Vietnamese
登記表: 支持學生的性別認定	181 K	Chinese
접수 양식: 학생의 성 정체성 지원(Supporting Student Gender Identity)	102 K	Korean
የተማሪ የጾታ መለያ ድጋፍ መቀበያ ቅጽ፦	91 K	Amharic

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