Apply for Student Membership

Name(Required)

First Middle Last

School Name(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Email(Required)

School Email

Home Telephone(Required)

Education(Required)

(List educational institution(s), degree(s) awarded or expected, and graduation date(s) and provide a recent transcript of courses presently taking)

File

Max. file size: 256 MB.

Nomination Type(Required)

Academic Sponsor (an email will be sent to the Sponsor)

Self-nominating

Sponsor's Name(Required)

First Last

Sponsor's Email(Required)

Why are you interested in joining the SWG (in 500 words or less)?(Required)

How did you hear about SWG?(Required)

Date(Required)

Applicant Signature(Required)