Keystone Club Southport Clubhouse Application 2024-2025

2024-2025 Keystone Club Application

Wakeman Boys & Girls Club - Southport Clubhouse
We hope you choose to become part of the First Place National Winners of Community Serive is 2023 and second place for the Environmental Project and second place for Career Exploration in 2022.

This year, we are in the top 3 for Teen Outreach Nationally (waiting for the final results)

Please read through this entire application carefully and consider your responses before starting application. It is suggested for applicants to copy and paste responses to questions since this application cannot be saved and reopened. Be sure to click SUBMIT button when finished.

Application is due September 19th.
Full Name*

First NameLast Name
Nickname or preferred name
Home Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Your E-mail. This should be your personal email that you will check, please do not use public school email as they block bulk emails. This should NOT BE a parent email.*
Parent/Guardian E-mail, this should not match the one above as we need a parent and your email*
example@example.com
Grade*
Do you plan to run for an officer position: executive board or would you like to chair a committee? Elections will be held in November*

YesNoCommittee ChairUnsure
What questions do you have for the Keystone Advisor? Please list 1-3 questions related to Keystone or WBGC*

0/150
Describe, in detail, a Keystone activity(social, presenter, fair) or a community service project that fits into one of our focus areas of career preparation or academic success or the National Project: Bullying. Please use your creativity and imagination but keep it reality based:*

0/200
Keystone requires that you attend meetings regularly and complete 4 service hours a month. Please enter your name and have a parent or guardian enter their name as a signature of understanding of Keystone Club Rules. Two names should appear below stating you understand the rules and requirements.*
To become a Keystone member you must (3 steps) :

Fill out this application in its entiretyRegister and pay for Keystone Club Program FeePurchase an annual membership to WBGC
Should be Empty:

2024-2025 Keystone Club Application