Seattle public schools begin instructing students to be "Trans-Affirming" and "Queer Affirming" in grades K-3. For example, a lesson plan requires teachers to tell the students to turn to each other and ask, "How can we work with the Black LGBTQIA+ Community?" The phrase "LGBTQIA+" stands for "Lesbian, Gay, Bisexual, Pansexual, Transgender, Genderqueer, Queer, Intersexed, Agender, Asexual, and Ally." In another lesson plan, teachers tell the students: "If our doctor and our parents assign us a gender and it matches what we feel inside, then we can say we are cisgender. However, we may look like what society says a girl or boy should look like, but inside, we feel something different than just boy or just girl, we are somewhere in between, we can say that we are gender-expansive or transgender."