KEYS Program Application If you are human, leave this field blank. Last Name * First Name * Gender * M F Age/birthdate * Home address * City/state/zip * KEYS Program (check one) * Innovations (10th - 12th grade) Connections (summer - ages 14 - 24) Careers (ages 18 - 24) Employment Barrier (check all that apply) Basic Skills Deficient in Math/Reading Foster Care Homeless Offender Pregnant or Parenting Youth living in a Single Parent household First Generation to Attend College Cumulative grade point average below 2.0 Cumulative GPA of 2.5 but core subjects (math, english, or reading) are below 2.5 Twenty (20) plus unexcused absences per school year. Three or more suspensions in one school year Current grade (if applicable) Parent/Guardian name (under 18) Parent/Guardian phone number (if applicable) Parent/Guardian email (if applicable) Applicant cellular number * Applicant email * How did you hear about us? Status * New applicant Previous participant Submit Submission of an application does not guarantee acceptance. A KEYS staff member will contact you.