2019 Campership Form for Scout Resident Camp
Please use this form
Full name of Scout *
Your answer
Address *
Your answer
Town *
Your answer
Zip Code *
Your answer
BSA id
Your answer
Unit *
Your answer
District *
Rank
Your answer
Scoutmaster's Name *
Your answer
Scoutmaster's email address *
Your answer
What Program Camp is Scout attending? *
Scout Lives with *
# of youth under 18 yrs of age living in household *
Your answer
Total Household Annual Income - You must submit a copy of the family's most recent Form 1040 to be considered for assistance. Please send the first page and black out the Social Security Number, write Scout's Name at top of page and mail to the Connecticut Rivers Council Office *
Your answer
Scout Family contribution--It is required that the Scout and / or the family contribution to the cost of the camp fee *
Your answer
Unit/Charter Organization Contribution *
Your answer
Amount of Campership Requested *
Your answer
Please indicate below which programs that you or the Scout have participated in during the past year *
Required
Is a parent or gaurdian of the Scout Currently on active duty in the US military? *
Briefly explain the financial need for assistance *
Your answer
Name of Individual Submitting Form *
Your answer
Address if different from Scout
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Relationship to Scout *
GENERAL INFORMATION - Connecticut Rivers Council administered Camperships will be restricted to Connecticut Rivers Scouts only, attending a Connecticut Rivers Council Camp Program, subject to available funding and on basis of financial need. - A copy of the family's most recent Form 1040 - first page only, with Social Security number(s) blacked out MUST be mailed to the CRC office. - Regardless of total household ANNUAL INCOME, if there are extenuating situations, please explain in the space provided above. - Applicants are required to forward this completed application by April 1, 2018. If an applicant does not have internet access, please work with unit leadership to process this application. - Any Campership applications received after April 1 will be put into a pool for consideration of any remaining funds. - Except on rare occasions, Camperships are NOT granted for amounts greater than 50% of the camp fee. - Campership applicants will be notified of award on or around May 1. - Unit leaders will be advised of Camperships awarded and/or pending, in order to support the camp registration process. Unit leaders will not be provided family's financial information. - Campership applicants will make all camp payments to the unit and are advised not to forward final payment to the unit until notice of Campership award has been announced on or around May 1. - Camperships are awarded for ONE (1) camp session. - File a separate application for EACH individual requesting a Campership. - It is understood that this application is not a guarantee that the Scout applicant will be awarded a Campership. - ALL INFORMATION MUST BE PROVIDED, INCLUDING ANNUAL INCOME. FAILURE TO COMPLETE APPLICATION WILL CAUSE DELAYS IN PROCESSING. - NO LATE CAMP FEES WILL BE CHARGED. Questions?? Please Contact Michele Soboslai 860-913-2752
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