Get Form 1: Intake Form - Hhs Fatherhood Initiative - Fatherhood Hhs

This guide provides a comprehensive overview of how to fill out the FORM 1: INTAKE FORM for the HHS Fatherhood Initiative. By following these instructions, you will be able to complete the form efficiently and accurately.

Follow the steps to successfully fill out the form.

1. Press the ‘Get Form’ button to obtain the intake form and open it in the designated online editor.
2. In section A1, enter your name, including your last name, first name, and middle initial as applicable.
3. For section A2, fill out your complete address, including the city, state, and zip code.
4. Input your home phone number in section A3 and your work phone number in section A4, ensuring to include area codes.
5. In section A5, provide your pager number if applicable, or leave it blank if you do not use one.
6. Fill in your email address in section A6 to facilitate program communication.
7. In section A7, enter your social security number using the format requested.
8. Indicate where you heard about the program in section A8 by checking all applicable sources.
9. Answer section A9 regarding whether you are required to attend this program by selecting 'Yes' or 'No.'
10. Provide your date of birth in section A10 using the specified format (MM/DD/YY).
11. In section A11, select your gender from the given options.
12. Indicate your current marital status in section A12 by checking the appropriate box.
13. For section A13, describe your racial or ethnic identification by selecting from the options provided.
14. In section A14, confirm if you are currently enrolled in school by selecting 'Yes' or 'No.'
15. Enter the highest grade of education you have completed in section A15.
16. In section A16, indicate the highest degree you have earned by selecting from the available options.
17. In section A17, indicate who you live with by checking all applicable relationships.
18. In section A18, state whether you have any children under the age of 18 who do not live with you.
19. Answer section A19 regarding pregnancy status by selecting 'Yes' or 'No.'
20. In section A20, indicate any areas where you may want assistance by checking all relevant options.
21. Review all entries for accuracy and completeness before saving or proceeding.
22. Once completed, save your changes, and select the option to download, print, or share the form as necessary.

Complete your FORM 1: INTAKE FORM Online to take the next step in your journey with the HHS Fatherhood Initiative.