Gucker Campership Fund Application for Summer 2025

Application for Summer 2025
The Gucker Campership Fund (the “Fund”) supports parents and guardians with the cost of tuition for the North Country Camps–Camp Lincoln and Camp Whippoorwill. The Board recognizes the incredible impact that camp has on campers and it is thrilled to help send children to camp, to the extent possible.

The primary application deadline is February 1, 2025. Funding decisions will be communicated to families approximately one month after the application deadline. The Fund will consider applications after the February 1, 2025 deadline on a rolling basis. Unfortunately, funds are limited so the Board may not be able to fund late applicants.

Notes about funding and the application process:
- We ask that you complete the requested information fully and honestly.
- The Fund understands the information provided is very personal and the Board will keep it strictly confidential. The names of applicants are only seen by Meg Johnson, and shared with the Executive Director and Business Manager of North Country Camps. Occasionally a need arises for applicant names to be shared with the Board’s legal counsel. Names are not shared with anyone else, including the Fund’s Board of Directors during the application review process.
  If the funding you are offered is insufficient, please contact the Executive Director of North Country Camps and email apply@guckerfund.org.
  Once funding is awarded, we ask that families please view this as a commitment. If you are unable to send your child to camp for any reason, please email apply@guckerfund.org as quickly as possible. This can free up funding for another family
  Payment of awards is made directly by the Fund to North Country Camps.
If you need help or have questions, please email apply@guckerfund.org.
1. Before applying for funding, ensure that your child is registered at Camp Lincoln or Camp Whippoorwill and let the director know you are applying to the Fund.
2. Complete each section of the application to the best of your ability and sign the application form. If a section or question does not apply to you, please write N/A.
3. Attach complete copies, including relevant schedules, of your U.S. federal income tax form(s) for the past three years (including the current year, if available). If you have previously sent these tax forms to the Fund, you do not need to resend them. The Fund should have on file tax forms from 2024, 2023 & 2022 OR 2023, 2022 & 2021.
  Please ensure that all social security numbers are redacted.
  You can submit your tax documents within the online application or by mailing the documents to the address below.
  Note: If you do not have a tax return, please provide letters or paperwork stating that your family qualifies for one or more of the following: Eligibility for the school lunch program; Medicaid or CHIP; Public housing or Section 8 voucher; SNAP Benefits; SSI (Supplemental Security Income); Social Security Survivors of Disability Insurance; Veterans’ benefits
4. Send additional documents as instructed in the application to apply@guckerfund.org or to the address below.
5. If parents are separated or divorced, each parent must fully complete an individual application and submit appropriate tax returns.
6. If you are not able to provide certain information, please explain in a letter to the Board sent to apply@guckerfund.org.
7. If you are applying for more than one child, please complete this application in its entirety and complete the "Additional Child" form for each additional child.
The application must be submitted by the deadline above. If you prefer to complete a paper form you can download the application from the Fund's website here or request that an application be sent to you by emailing apply@guckerfund.org. To submit materials via mail, please send the documents to:

Gucker Campership Fund
c/o Meg Johnson
1270 5th Ave, Apt 14T
New York, NY 10029

Enrollment Information
Is the child enrolled at Camp Lincoln or Camp Whippoorwill?*

YesNo
Has the child attended Camp Lincoln or Camp Whippoorwill previously?*

YesNo
Has the child applied to the Gucker Campership Fund previously?*

YesNo
If the child was funded but did not attend Camp Lincoln or Camp Whippoorwill, why did the child not attend camp?

Parent & Guardian Information

The first 10 questions are for the first parent or guardian and begin with the number 1, next 10 are for a second parent or guardian and begin with the number 2. If there are more than two parents or guardians please email apply@guckerfund.org with the below information for each additional parent or guardian.
(1) Name:*
(1) Relationship to child:*
(1) Home address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
(1) Cell phone number:
Please enter a valid phone number.
(1) Home phone number:
Please enter a valid phone number.
(1) Email:
example@example.com
(1) Occupation:*
(1) Title:*
(1) Employed by:*
(1) Year(s) with employer:*
(2) Name:
(2) Relationship to child:
(2) Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
(2) Phone Number
Please enter a valid phone number.
(2) Phone Number
Please enter a valid phone number.
(2) Email
example@example.com
(2) Occupation:
(2) Title:
(2) Employed by:
(2) Year(s) with employer:

Who is the primary contact person for the application?
Name:*
What is the best way to reach out to the primary contact?*

Email (please list the email address below)Phone call (please list the phone number below)Text (please list the phone number below)
Email
example@example.com
Phone call number
Please enter a valid phone number.
Text number
Please enter a valid phone number.

Non-Custodial Parent Information

If divorced, separated, or never married, please complete the section(s) below and include a complete copy of the non-custodial parent or guardian’s most recently filed U.S. federal income tax return form(s) for the past three years, including the current year, if available. If you previously sent these tax forms to the Fund, you only need to send the most recent year. If there is more than one non-custodial parent please email apply@guckerfund.org with the below information for each additional parent or guardian.
Name:
Relationship to child:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell phone number:
Please enter a valid phone number.
Home phone number:
Please enter a valid phone number.
Occupation:
Title:
Employed by:
Year(s) with employer:

Financial Information of Custodial Parent(s)/Guardian(s):
1. Who claims the child as a dependent?*
2. Has a tax return been filed in the child's name?*

Yes (please attach a copy of the child's most recent U.S. federal income tax return)No
3. What is the total gross income for the past calendar year (salary, interest, dividends, alimony, miscellaneous, etc.)?*
If there is a discrepancy between the total gross annual income listed above and the gross income listed on your tax forms, please explain the difference in an email to the Board sent to apply@guckerfund.org.
4. Please list any monetary gifts received, including amount:
5. What is the value of stocks, bonds, mutual funds, trusts, checking and savings accounts, money markets, CDs, and equity interest in businesses? Please do not include retirement accounts.*
6. Do you own or rent your home?*

OwnRent
(Own) Purchase date:
(Own) Purchase price:
(Own) Mortgage owed:
(Own) Monthly mortgage payment:
(Own) Monthly maintenance fees/condo dues:
(Rent) Monthly rent:
(Rent) Monthly maintenance fees/condo dues:
7. I/My family*

Does not own a carLeases one or more carsOwns one or more cars
(Lease) For each car that is leased, please list the monthly payment and state whether the car is provided by your employer.
(Own) For each car the is owned, please state whether the car is paid for (yes/no) and the monthly payment amount.
8. If you own other property, real estate, vehicles, boats etc., please specify the type, estimated value and any money owed.
Who does the financial information entered in this section pertain to?*

Liabilities & Expenses
1. Total number of household members:*
2. Number of children (under 18 years old) in the household:*
3. List all outstanding loans (other than mortgage and car payment), specify type and amount:
4. Please list annual family education expenses (tuition, room, board, book and lab fees, tutor, etc.) for each applicable family member. Ensure that you include: (a) the individuals name, age, relation to applicant; (b)school name; (c) scholarship amount; (d) cost to family.
5. Please list all travel and vacations for the past year, including purpose and cost.*
6. How much do you pay in child support each month?*
7. What are your typical monthly food expenses?*
8. What is the combined average of your monthly utility bills?*
9. Please list any other notable liabilities or expenses.

Scholarship Information
My child is enrolled at Camp Lincoln or Camp Whippoorwill for:*

3 weeks5 weeksThe full seasonOther
How much funding are you requesting? Please list in dollar or percent form.*
How will the remainder of the camp fee be paid? If there is an agreement with the non-custodial parent providing for the child's camp experience, please note it here.*
Have you discussed your answers to the above three questions with the director of Camp Lincoln or Camp Whippoorwill?*

YesNo

Tax Forms
The Fund requires your three most recent years of U.S. federal tax forms to be on file; depending on when you complete you taxes, it could be years 2022, 2023 & 2024 or 2021, 2022 & 2023. If you previously submitted your tax forms, you only need to submit the most recent year. You can submit you tax documents using the upload features in this section or you can mail the forms to the address below. Please redact all social security numbers before submitting your tax documents to the Fund.

Mailing address:
Gucker Campership Fund
c/o Megan Hegenbarth
File Upload

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Signature, Reminders & Next Steps
Important reminders and notes!
- Information supplied by the applicant is strictly confidential.
- If you have concerns or questions about the application or review process, please note them on the application or email Meg Johnson at apply@guckerfund.org.
- The primary application deadlines is February 1, 2025.
- Applications received after February 1, 2025 will be considered for funding on a rolling basis, but since funds are limited, it may not be possible to fund late applicants.
- To apply for more than one child, please follow this link. Make sure you submit this application.
- You can send supporting documents via email (apply@guckerfund.org), using the upload feature below, or by mail to the address below.
  
  Gucker Campership Fund
  c/o Meg Johnson
  1270 5th Ave, Apt 14T
  New York, NY 10029
Supporting or Additional Documents

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Primary Signature: I certify that the information provided on this form is accurate and complete to the best of my/our knowledge.*

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Additional Signature: I certify that the information provided on this form is accurate and complete to the best of my/our knowledge.

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Application for Summer 2025

Child's Information

Enrollment Information

Parent & Guardian Information

Who is the primary contact person for the application?

Non-Custodial Parent Information

Financial Information of Custodial Parent(s)/Guardian(s):

Liabilities & Expenses

Scholarship Information

Tax Forms

Signature, Reminders & Next Steps