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* 1. Has your staff received training in the past year on LGBT-specific issues?
If yes, please provide the following information: Title of Training(s), Date(s), Number of Staff
Attended Position of Staff within Facility

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* 2. If no, please answer the following question: Have 60% of your current staff received
LGBT training at some point during their employment at your agency? If yes, please
provide the following information: Title of Training(s), Date(s), Number of Staff Attended Role
of Staff within Facility

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* 3. Do your intake forms include language or options for unmarried couples. (i.e.,
"partner", or "relationship status"?

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* 4. Is your senior living environment doing anything to educate or
complement existing knowledge on diversity issues? (no accompanying
documents required)

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* 5.  Would your agency be interested in credential training known as sageCARE?
(No points will be received for this question and no accompanying documents
required)

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* 6. Does your non-discrimination policy include sexual identity?

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* 7. Does your non-discrimination policy for staff include gender identity or expression?

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* 8. Does your non-discrimination policy for residents include gender identity or expression?

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* 9. Does your resident bill of rights or lease agreement include sexual identity and gender
identity/expression?

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* 10. Does your senior housing community have a process in place for how to handle residents making discriminatory comments to one another?

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* 11. Does your senior housing community have a process in place on how to handle staff making discriminatory comments to residents?

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* 12. Do any of your senior housing promotional materials contain images of LGBT individuals?
If Yes, does your community provide outreach, advertising/marketing to LGBT

people?

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* 13. Does your senior housing community offer LGBT programming, services, or events
for your residents?
If Yes, do these include LGBT themed programming, services and events
for your residents?

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* 14. Does your senior housing community post any LGBT flyers, media or other resources in a public space?

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