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Summer Campership Scholarship Fund Application

NEW in 2023!!

If you have not applied to the Office for Children first please stop filling out this applications and apply here: https://www.co.bergen.nj.us/division-of-office-for-children/apply.

If you have applied to the Office for Children and were denied please continue, please note that we will verify your denial before processing your application.
1. Have you applied first through the Bergen County Office for Children? *This question is required.
If you have not applied to the Office for Children first please stop filling out this applications and apply here: https://www.co.bergen.nj.us/division-of-office-for-children/apply.
2. Was your application with the Bergen County Office for Children Denied?
Please inquire with the Office for Children regarding Camp Scholarships. The Campership fund is for those who were denied funds by the Office for Children.
2. Name of Parent(s)/ Guardian
Please note YOU MUST LIVE IN BEREGEN COUNTY *This question is required.
2. Ethnicity (for statistical purposes only) *This question is required.
2. Please upload your last two paystubs.
Please list all children in the family and answer each question. Please note we only provide assistance to children aged 3 - 12 years old.
2. List all children in the household:
 
Space Cell Child NameChild AgeChild GenderIs the Child Applying for Campership
Child 1
Child 2
Child 3
Child 4
Child 5
2. Do we have your permission to use a photo of your child on our website and in its annual report; we do not ever use the names of children or families. *This question is required.
Camp Information Section
This section must be completed to process the application. The camp must be NJ State Licensed, we do check all camps.
2. Name and contact of summer day camp (do not leave blank, if you are not sure what camp you are attending, do not submit the application.) *This question is required.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.
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This question requires a valid date format of MM/DD/YYYY.
calendar