The application process has two phases: the initial introduction, using the online form below and, if selected, the personal interview. It is our desire to make this application process less of a procedure and more of general understanding of each other. In other words, this isn’t like applying for a college scholarship. And, of course, should you have any questions at all regarding any aspect of the program or Keep Climbing, just contact us.


  • Phone number of person completing this application. (###)### - ####
  • Email of person completing this application.
  • Address of the Applicant.
  • Applicant's Date of Birth
    Past climbing experience is NOT required for participation in this program.
  • Please describe the circumstances that have brought you to apply for the services of Keep Climbing.
  • If you have any other comments or questions, please list them here.