Forms → Staff → Student → Intake Form: Supporting Student Gender Identity
Form number: 560-80
Audience: MCPS Staff
Last revised: November 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. 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.
Copy 1/School Confidential folder (in principal’s office)
Copy 2/ Student Welfare and Compliance Unit, via scan to COS-StudentWelfare@mcpsmd.org, or via pony to CESC, Room 162, in a envelope marked confidential
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