SWANS, Inc Membership Application
Membership Type:  
Membership Level:
​Full Name: ____________________________________________________________________

Home Phone #:______________________________ Cell Phone #:_______________________
E-mail Address:________________________________________________________________
Occupation:______________________________________  Birth Month:__________________
Previous Affiliations with SWANS, Inc.  

Year of Participation: _______________    Other: (List)________________________________
I am interested in participating on the following Committee(s):

Address: ______________________________________________________________________

City: State: Zip Code: ____________________________________________________________
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I am interested in becoming a SWAN because:
What contributions will you make to SWANS Inc.? 
Application Deadline is Friday, September 8, 2023.

Save the Dates:  

Mandatory Interest Social 
SWANS Inc. would like to get to know you, join us on September 16, 2023 to learn more about the organization and its members.  Time and location will be communicated upon receipt of your application.

Induction is October 16, 2023 at 3pm (location TBA)