KEYS Enrollment Application

Thank you for your interest in the Arizona Western College Student Support Services (KEYS) Program. The KEYS Program has a long and rich history of ensuring that all students, regardless of gender, ethnicity, economic status, educational background, and/or disabilities have equal access to higher education, support, and resources necessary to graduate from college. We are a federally-funded program through the U.S. Department of Education.

General Information
Education Details

Proof of Lawful Permanent Residency must be submitted.

(i.e. physical disability, learning disability, etc.)
Income Tax Verification (NOT OPTIONAL)

Income Verification Is Required
This section is not optional. Failure to choose and fill out one of the three choices below will result in your request being denied until it is submitted.

In addition to being a US Citizen or Permanent Resident, a large percentage of the program participants must be eligible based on family income and size. Therefore, our records must contain certain information for verification of eligibility in the KEYS program. The information you give us will be kept confidential and only used for eligibility purposes. The information is protected by the Federal Privacy Act.

Taxable income can be found on line 15 from the most recent tax year - 1040 Forms
Taxable income can be found on line 15 from the most recent tax year - 1040 Forms
Services Needed
Please check all that apply.
Insight Questions

Please use complete sentences to answer the questions. The length of your answer should be two to three sentences.

Release Information

I hereby apply for services in the TRIO KEYS Program. I certify that all information supplied by me is correct and will be kept confidential and it will be used to determine eligibility and services needed. I give permission to the TRIO KEYS Program staff to check my financial aid and/or I will provide financial information. I give consent for my information, including my name, picture, graduate status, college, major and any awards or scholarships that I receive to be used by the TRIO staff in publications or AWC display cases to promote the success of TRIO KEYS students. I authorize the release of my student academic and financial aid records for the program director to use for reporting purposes to the Department of Education and determine eligibility.

Contact Info

Phone: (928) 344-7761
Location: KEYS Building
  • Monday - Thursday: 7:00am - 5:00pm