Forms → Staff → Student → Intake Form: Supporting Student Gender Identity
Form number: 560-80
Audience: MCPS Staff
Last revised: June 2019
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 (e.g. the principal’s/counselor’s/psychologist’s files). 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.
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