Get Fatherhood Intake Form

Completing the Fatherhood Intake Form online is an essential step for individuals seeking to participate in supportive programs related to fatherhood. This guide provides clear and detailed instructions to help you navigate and accurately fill out the form, ensuring a smooth submission process.

Follow the steps to successfully complete the Fatherhood Intake Form

1. Click the ‘Get Form’ button to access the Fatherhood Intake Form and open it in your preferred digital editor.
2. Enter your full name in the designated fields: Last name, First name, and Middle Initial.
3. Provide your current address, including city, state, and zip code.
4. Fill in your home phone number, work phone number, and pager number if applicable.
5. Input your email address to ensure effective communication.
6. Enter your social security number in the specified format.
7. Indicate how you heard about the program by checking all relevant options.
8. Specify if you are required to attend this program by selecting 'Yes' or 'No'.
9. Fill in your date of birth using the MM/DD/YY format.
10. Select your gender by marking the appropriate option.
11. Indicate your current marital status by checking the relevant box.
12. Identify your racial or ethnic background by selecting the most appropriate option.
13. State whether you are currently enrolled in school and fill in the highest grade you have completed.
14. Indicate the highest degree you have earned by marking the corresponding box.
15. List the people you normally live with by checking all applicable options.
16. Specify if you have any children under 18 who do not live with you.
17. Indicate if you or your partner is currently pregnant.
18. Check any areas where you might want assistance from the list provided.
19. Once all fields are completed, save your changes. You have the option to download, print, or share the form.

Complete the Fatherhood Intake Form online today for the support you need.