I attest that, to the best of my knowledge, the child and/or their family meets the eligibility criteria for participation in this program, including financial need and/or other qualifying circumstances as outlined by The KEY Collective.

My recommendation is based on direct knowledge of the child and/or family through my professional or personal role as [teacher, counselor, coach, social worker, etc.], and I have sufficient familiarity with their circumstances to make this referral.

I confirm that the information I am providing is accurate and made in good faith. I understand that providing false or misleading information may impact eligibility for this program.

I understand that The KEY Collective may contact me for additional information or clarification regarding this referral.

I acknowledge that any information shared will be handled in accordance with applicable privacy standards and used solely for the purpose of determining program eligibility.