FY27 Kit Request

Youth Initiatives

Youth school safety mini-grant kits are reserved for KEYS Member Groups. If you would like to request a kit for your project, please sign up to be a KEYS Member Group using the following link: https://forms.txssc.txstate.edu/yi/keys-groups/

To request a youth school safety mini-grant kit, please complete the form below. Once submitted, you will receive an automated email confirming receipt of your kit request. If you do not receive an email, please contact staff at txssc_yss@txstate.edu.

Please note, submitting a request does not guarantee your group will be awarded a kit. Awards are based on the intentions of the project, how the kit can support the project, and kit inventory. If approved, the kit will ship via UPS within 1-2 weeks of your project’s date(s).

Kit Selection

Please select the kit your group is requesting:

Student Group Information

Group/Club Name:

School/Organization Name:

School District (If applicable):

ESC Region:

If you selected Other for the previous question, please specify:

How many youth members does your group have?

How many adult leaders does your group have?

Are you a KEYS Member Group?

Project Information

Project Name:

Project Location:

Start Date:

When will you begin this project?

End Date:

When will this project be over?

Audience:

Who is the main audience of your project?

Student Leader’s Name

You must provide the name of 1 student leader for this project

Adult Leader’s Name

You must provide the name of 1 adult leader for this project

Project Description:

Tell us about your group’s project

Project Purpose/Objective:

Tell us why your group is choosing to do this project

How will this kit support your project?

Contact Information

First Name:

Last Name:

Title:

(if applicable)

Phone Number:

Email Address:

Shipping Information:

Name of Recipient:

Who should we address the package to?

Address 1:

Address 2:

City:

State:

Zip Code:

By submitting this form, you acknowledge that if your group receives a kit:

You or another representative from your group will submit an online reporting form:

I Acknowledge

If you or another representative from your group does not submit an online reporting form by June 14th, your group may not be eligible to receive a kit for the next school year.

I Acknowledge

Email:

Please ensure all required fields are complete before clicking Submit.