Swoop's 2020-2021 Intake Form
Please take a moment to answer all questions so that we may serve you better. We are required to obtain the following information from our students for funding and reporting purposes; however, we will serve anyone regardless of ethnicity, race, color, national origin, sexual identity, gender, age, disability, parental status, political, religious, or spiritual beliefs. This information will be kept confidential and will not have a negative effect on services provided to you. Please note the information you provide may be used for grant funding or research purposes but your name and any identifying information will be kept confidential.
Email *
Next
Never submit passwords through Google Forms.
This form was created inside of Eastern Michigan University. Report Abuse