Keystone Club Southport Clubhouse Application 2025-2026

2025-2026 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. And first place for Teen Outreach in 2024.

We will hold the Career/College Fair, Multicultural FAir and we have submitted a request to host the Northeast Regional Keystone Conference (last time we hosted over 300 teens from our area)

We also had a Keystone member perform at the National Staff Conference in San Diego (trip covered by BGCA)

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 26th.
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. Must have applied by deadline to hold a leadership role)*

YesNoCommittee ChairUnsure
Do you have a performance art talent(s)?

Vocal (singing)InstrumentalDanceDJ/ Video creation or video editing/ Podcast/ FilimingOther
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. Please also indicate if you are interested in chairing or leading this activity*

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.*
Would your parent or guardian or grandparent be willing to participate in our Career Fair (professional, trades, safety, military) ?
To become a Keystone member you must (3 steps) :

Fill out this application in its entiretyRegister for Keystone Club ProgramPurchase an annual teen membership to WBGC
Should be Empty:

2025-2026 Keystone Club Application