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Genogram_Template_CA.pptx

Ethnic Genogram and Analysis

Assignment Examples

Assignment Directions

Begin by constructing a genogram of your family. (If you are adopted, fostered, or estranged from your biological family, you may use an example family that you know well to complete this assignment.)

Males are represented by squares, and females are represented by circles. A horizontal line connecting the two indicates a family. Children are placed below the horizontal family line from the oldest to the youngest, left to right. 

Male

b. XXXX

Female

b. XXXX

Male Child

b. XXXX

Female Child

b. XXXX

Assignment Directions

Using the following color guide, fill in the squares or circles based on the race or ethnicity of the individual. Represent individuals of multiple races or ethnicities by dividing the circle or square into as many designations as needed. 

Green: Caucasian  Purple: Hispanic, Latino, or Spanish Origin 
Blue: American Indian or Alaska Native  Orange: Black or African American
Brown: Native Hawaiian and Other Pacific Islander  Light Blue: Asian Indian 
Pink: Asian  Lavender: Specify Other Race or Ethnicity 

Assignment Directions

Write each person's culturally significant data beside his or her square or circle.

Culturally significant data, in this context, means events or views the person held regarding culture or ethnicity.

Include information on your genogram regarding at least three characteristics or core values for each family member, such as religion or faith, birthplace, nationality, or origin from an urban (city) or rural location. 

Male Name

b. XXXX

Religion

Birthplace

Nationality

Female

b. XXXX

Religion

Birthplace

Nationality

Simon

b. 1915

Abel

b. 1914

Jose

b. 1912

Eli

b. 1939

Pablo

b. 1914

Jose

b. 1936

Mark

b. 1960

Thomas

b. 1960

Simon

b. 1984

Andrew

b. 1937

Molly

b. 1918

Linda

b. 1939

Sandra

b. 1917

Paola

b. 1913

Maria

b. 1936

Alexa

b. 1960

Cindy

b. 1963

Tina

b. 1967

Anne

b. 1957

Lisa

b. 1959

Marta

b. 1965

Sarah

b. 1982

Maria

b. 1914

m. 1933

m. 1934

m. 1938

m. 1939

m. 1980

m. 1958

d. 1982

m. 1960

Caucasian

Catholic

Ohio

Rural

Caucasian

Catholic

Ohio

Unknown

Latino

Catholic

Los Angeles

Urban

Latino

Catholic

Los Angeles

Urban

Latino

Catholic

Los Angeles

Urban

Latino

Catholic

Los Angeles

Urban

Latino

Catholic

Phoenix

Urban

Caucasian

Catholic

Phoenix

Urban

Latino

Catholic

Phoenix

Urban

Latino

Catholic

Phoenix

Urban

Caucasian/Latino

Catholic

Phoenix

Urban

Caucasian/Latino

Catholic

Phoenix

Rural

Sample Genogram

X

X

X

X

X

X

X

X

X

X

X

X

X

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

m. [Year]

m. [Year]

m. [Year]

m. [Year]

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

m. [Year]

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Genogram Template

To use this template:

Fill in names and years

Add/subtract shapes and lines to vary offspring numbers

Additional assets have been provided on the next slide

Change the shape colors to match the race/ethnicity of each individual

Fill in cultural information

Use “Gradient” shape fill options to represent individuals of mixed race/ethnicity

Optional:

Add X’s over deceased relatives

Add hashmarks to denote divorce

Note: This template begins at the great-grandparent level. Please note that you should add information only for immediate relatives—do not add their spouses.

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

Name

b. [Year]

m. [Year]

m. [Year]

m. [Year]

m. [Year]

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

m. [Year]

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Genogram Template

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Additional Assets

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]

Name

b. [Year]

Name

b. [Year]

Race/Ethnicity

Religion

Location

Location Type

m. [Year]