JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
S.W.A.G. MEMBER 2026 - 2027 Application
Sisters Wholesome Aspiring toward Greatness Mentoring Program (S.W.A.G.)
Providing educational and cultural enhancement opportunities that foster leadership development in Middle School Girls
Instructions:
There are several brief sections that make up the application packet.
Select "Next" at the bottom of each page to move to the next section.
Your daughter is responsible for completing one section of the application.
"N/A" is an acceptable response if the information requested is not applicable to your family.
Visit
www.eclninc.org
to learn more.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
THE FOLLOWING SECTION IS TO BE COMPLETED BY PARENT/ GUARDIAN
Date
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Is your daughter a returning S.W.A.G. Member?
*
Yes
No
Name of Middle School Attending
*
Your answer
Student's Preferred Name
*
Your answer
Grade of Student
*
Your answer
Date of Birth
*
Your answer
Ethnicity
*
Your answer
Parent/ Guardian First Name
*
Your answer
Parent/ Guardian Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone
Your answer
Parent Email (Mother)
*
Your answer
Parent Email (Father)
*
Your answer
Parent Mobile Phone (Mother)
*
Your answer
Parent Mobile Phone (Father)
*
Your answer
Work Phone of either parent: indicate one Mother/Father
*
Your answer
Health concerns (allergies, medication, dietary restrictions)
*
Your answer
Any other pertinent information we should know about your daughter (special talents/abilities, learning needs, emotional needs, etc.)
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report