Campership Request

Campership Request

Scouting America - W. D. Boyce Council
Assistance provided by the council is made possible by the support of generous donors to Friends of Scouting and our Annual Popcorn Fundraiser.

This form should be completed BY THE UNIT - not by the family or individual - and information must be kept strictly confidential.

Using this form, a UNIT in the W. D. Boyce Council may request a campership - financial assistance for a Scouting youth or adult to attend camp - within the council.

The Individual Information Form may be printed and used to collect individual information ahead of the unit submitting a funding assistance request:

Download the Individual Information Form

Important Notes:
- Camperships are ONLY available for Scouts and Scouters registered and residing in the W. D. Boyce Council to attend camps taking place in the W. D. Boyce Council.
- The individual must be currently registered as a member of Scouting America.
- There must be a demonstrated need for assistance. Reasons why this camp fee cannot be afforded must be stated in "Rationale for Assistance."
- Explorers and Venturers ages 18-20 should be listed as youth.
- Unit and individual participation in council fundraising programs is strongly encouraged and will be considered.
- The individual, family and/or unit must be prepared to pay at least 50% of the fee.
- Incomplete forms will not be considered.
- Camperships may be granted only once in twelve months to any individual. A
- ll for whom financial assistance is requested will be locked into the "Early Bird" prices whether or not the request is approved.
- This form must be submitted by April 1 of the camping year for guaranteed consideration.
For additional information or assistance, contact:

Scouting America - W.D. Boyce Council, 614 NE Madison Ave, Peoria IL 61603
(309) 673-6136

Click to expand section:

Submission Info
District
Unit Type
Unit
4 Digits
Camp Year
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade in the Fall (If Youth)
Currently registered with the unit?
Time with the Unit (Approximate)
e.g. 6 months, 2 years, etc.
Rank/Position
City/Town of Residence
Parent/Guardian Name If Youth
Phone (Adult/Parent)
Email (Adult/Parent)
example@example.com
Assistance Requested
Program & Cost
Note: Costs are based on "Early Bird" pricing
Amount the family/individual will pay
Amount the unit will pay
It is recommended that the unit pay 20-50% of the program cost.
Amount of assistance requested
Calculated based on program cost less what the family/unit will pay- Please do not modify.
Unit Information
Unit Leader
Name
Committee Chair
Name
Chartered/Sponsoring Organization
Chartered/Sponsoring Org Rep
Name
Institutional Head
Name
Does unit participate in council popcorn fundraiser?
Unit participation in the council popcorn fundraiser helps make camperships and membership registration assistance possible. If your unit does not currently participate, please talk to your District professional about participating in the coming year.
What other fundraising projects does the unit carry out?
Approximate amount raised by unit fundraising in the past year:
Background Information
# of Adults in Household
# of Children in Household
Employment Status of Adults:
If youth, are they eligible for free/reduced lunch at school?
Describe individual's activity with the unit:
If youth, describe level of participation in unit fundraising:
Rationale for Assistance
On behalf of our Scouting program, I affirm that the individual is registered with our unit, agree that there is a demonstrated need and request a campership be granted as outlined here.
Submitted By
Signature

Clear
Role of Submitter
Submitter's Email
example@example.com
Submitter's Phone
Click to open your section, add any comments and your initials. Only add your signature if you APPROVE of the request.

When done, scroll to the bottom and submit.

District Executive Approval
DE Signature (If Approved)

Clear
District Executive Initials
Notes

Staff Leader Approval
Staff Leader Signature (If Approved)

Clear
Staff Leader Initials
Notes

Scout Executive Approval
Scout Executive Signature (If Approved)

Clear
Scout Executive Initials
Approved
Amount Approved
Notes

Scout Executive End
Should be Empty: