2024 Campership request form

Scouts BSA:
Please submit 1 form per Scout BEFORE March 1, awards will be announced March 8th

Cub Scouts:
Please submit 1 form per Scout BEFORE May 1, awards will be announced May 15

Scouts must be registered by the earlybird dates or the award will be forfeited
Scouts BSA April 1 and Cubs June 1

WE ARE ONLY ACCEPTING CAMPERSHIP REQUESTS FOR CUB SCOUTS. THE SCOUTS BSA DEADLINE HAS PASSED
Unit Number
Must be between 3 and 4 digits. Currently Entered: 0 digits.
Unit Type
Parent Information:
Applicant Name Applicant Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region
Phone Phone - ### - ### ####
Email
Scout Information:
Name Name First Last
Rank
Age
Must be a number between 6 and 17
Campership Request:
Camp Attending
Camp Fee from above $ Dollars . Cents
Less amount provided by family $ Dollars . Cents
Less amount provided by unit $ Dollars . Cents
Campership request $ Dollars . Cents
Did the Scout participate in Spring Sale or Fall Popcorn Sales in 2023?

Did the Scout participate in Spring Sale or Fall Popcorn Sales in 2023? Yes No
If the above answer is no, please explain why.
Did you receive a campership last year?

Did you receive a campership last year? Yes No
Did you use it?

Did you use it? Yes No Not Applicable
If the above answer is no, please explain why.
Total number in household?
How many under 18?
How many attending a Camp?
Total yearly net household income:

In most cases, camperships are not granted to those families who have an income over $75,000.
Family Information:

This section must be completed by the Scout's family.
Briefly, describe the circumstances that require campership
assistance for the Scout to attend camp. (i.e. number of adults in family, medical issues, etc.)
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
GENERAL INFORMATION AND INSTRUCTIONS:

• Applicants for camperships MUST be a currently registered member of the Allegheny Highlands Council, BSA.
Applications for unregistered persons and applications without proper signatures will be returned to the Unit
Committee Chairman.

• The Council Camping Committee is concerned about the individual needs and the Unit's individual evaluation of
the Scout for whom this request is made.

• Generally, camperships are limited to no more than 20-30% of the activity cost. Each Scout, their family, and/or their
Unit should provide a minimum of 50% of the activity cost.

• Camperships are not transferable, refundable and have no cash value.

• Applications must be submitted no later than April 1 for Scouts BSA and May 1 for Cub Scouts. Applications received after these dates will be reviewed but may not be granted due to limited funds.

• All information in this application will be treated confidentially.

• The ninth part of the Scout Law is "A Scout is THRIFTY." A Scout works to pay their own way. The Council Camping
Committee is very interested in what the Scout has done to assist their family in providing them with this camping
experience. This is a character building opportunity for the scout to learn the importance of being THRIFTY.

• Scouts must be registered and paid before the early bird dates or the award will be forfeited.
FOR COUNCIL USE ONLY:

__Approved __Disapproved / Reason _________________________________________________________________

Amount: ____________________________ Date: _____________
Comments

2024 Campership request form

2024 Campership request form

WE ARE ONLY ACCEPTING CAMPERSHIP REQUESTS FOR CUB SCOUTS. THE SCOUTS BSA DEADLINE HAS PASSED

Parent Information:

Scout Information:

Campership Request:

Family Information:

GENERAL INFORMATION AND INSTRUCTIONS:

FOR COUNCIL USE ONLY: