SWAN SUPPORT GROUP INFORMATION FORM

SWAN Affiliate Name	Name
Support Group Name	Name
Support Group Description	Please enter a few sentences to describe the group
Participants	Families ☐ Resource ☐ Waiting ☐ Adoptive ☐ Kinship	Parents ☐ Resource ☐ Waiting ☐ Adoptive ☐ Kinship	Children/Youth ☐ Foster ☐ Adoptive ☐ Kinship ☐ Teen ☐ Youth
Childcare Available	☐ Yes ☐ No Additional Information
Handicap Accessible Meeting Space	☐ Yes ☐ No Additional Information
Fees	☐ Free to Post-perm families receiving Post-perm funding ☐ Fee for families not receiving Post-perm funding $0
Group Type	☐ Educational ☐ Peer Support ☐ Advocacy ☐ Bilingual ☐ Other
Meeting Location	☐ Virtual ☐ In-Person Meeting address ☐ Hybrid (Both Virtual and In-person)
Dates of Meeting(s)	Please list dates and times of all meetings
Contact Person	First and Last Name
Contact Person Email	someone@email.com