Campership Application - ganisraelnh.com

Camp Gan Israel Campership Application - Summer 2025
***Please note that this application will take approx. 15-20 minutes to complete, and there is no option to "save for later." Please be sure you have enough time to complete the entire application when you begin so you will not have to repeat the process.

This application does not take the place of registration for camp. First, please complete your camp registration online at www.GanIsraelNH.com/register. A $300 deposit per family is required at time of registration. If paying this amount poses a difficulty for you, please contact us. Please note that a copy of your latest federal and state tax returns is required for this application to be considered complete.

This online form requires detailed information. Please understand that this is not for the sake of complicating your request; on the contrary, it is intended to work to your advantage as it will enable the committee to screen applications upon the basis of genuine need. If you require any assistance in completing this application, please call 203-701-9386 or email [email protected] and we will gladly guide you through it. You will be contacted once a decision is made regarding your campership amount, usually within 2-3 weeks of your submission.

Deadline for campership applications: May 1, 2025.
Please check the following:*

I have read and understand the above.
I. Basic Information
Applicant's (Parent's) Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Job Title*
Current Monthly Earnings*
Employer's Name*
Employer's Address*
Employer's Phone #

Area Code Phone Number
2024 Total Income*
Marital Status
Name of 2nd Parent*
First Name Last Name
Job Title* 2nd Parent
Current Monthly Earnings* 2nd Parent
Employer's Name* 2nd Parent
Employer's Address* 2nd Parent
Employer's Phone # 2nd Parent

Area Code Phone Number
2024 Total Income* 2nd Parent
Combined household income for 2024*
Combined household income for year before*
II. General Information
How many people in your household?*
Please list all household members' names and ages*
Please use a separate line for each individual
Please itemize any extraordinary expenses PER MONTH. You may include mortgage/rent, car payments, insurance, student loans, etc.
III. Banking/Savings
Average amount in your checking account*
Estimated total of any savings accounts*
Please list any source(s) of income for your family other than employment noted in Section I. Please include any state/govt. assistance.
What is the total of any additional investments or bank accounts (real estate, bonds, money market accounts, etc.)
IV. Annual Spending on Jewish Life
Does your family belong to a synagogue or temple?*

YesNo
If yes, which one?
Annual Dues?
Do your children attend a Jewish day school or Hebrew school?*

YesNo
If yes, what is your total tuition (for all children) per year?
V. Campership Evaluation
Have you applied for assistance from Care 4 Kids?* Please be aware that your campership amount is conditional upon the amount you owe. Therefore, your campership amount is subject to change if you will receive other financial assistance.

YesNo
If you were not requesting financial assistance, what is the total amount you would have to pay for your child(ren) to attend Camp Gan Israel?*
What is the TOTAL AMOUNT of assistance you are requesting to help cover the cost of camp tuition? Please include an actual number.*
Optional: You may include a paragraph stating the reasons why you feel a campership should be granted in your situation. You may include any special circumstances or other extraordinary expenditures that support your request for financial aid.
I feel a campership should be granted in my situation because:
Any other comments?
I hereby declare that all of the above information is correct and hereby authorize Camp Gan Israel to verify the accuracy of my application by contacting my employer and/or researching any other information provided on this form. I understand that my application will only be complete and processed once my tax returns are sent. (Instructions below)
Please check the following:*

I have read and agree to the aboveI will email a copy of my federal and state tax returns to [email protected]
Electronic Signature:*
Should be Empty:

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Camp Gan Israel

Camp Gan Israel Campership Application - Summer 2025

I. Basic Information

II. General Information

III. Banking/Savings

IV. Annual Spending on Jewish Life

V. Campership Evaluation

Camp Address