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WESTVIRGINIABUREAUOFSENIORSERVICES
CLIENTINTAKEFORM
1.GENERALINFORMATION
*1. DateofAssessment:
3. TypeofAssessment:*2. Worker:
4. Action:1Initial
2Reassessment5. TypeofContact:1Modifyclientrecord
2Inactivateclient1InOffice
2InField
3ByTelephoneName
*6.a.
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How to fill out gendermmaleffemale
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02
Locate the gender field in the form or application you are filling out.
03
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04
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05
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06
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What is gender?
Gender refers to the roles, behaviors, activities, and attributes that a given society considers appropriate for men and women.
Who is required to file gender?
Gender does not require filing, as it is a characteristic that is intrinsic to an individual.
How to fill out gender?
Gender is not something that needs to be filled out on a form. It is a personal identification.
What is the purpose of gender?
The purpose of recognizing gender is to promote equality and inclusivity.
What information must be reported on gender?
Gender identity, whether it be male, female, or non-binary, is the information that may be reported.
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