Campership Application

Please complete all required fields (*). If required fields are left blank, the SUBMIT button below will not engage. Campers without a connection to a local church are still eligible to receive camperships. Some special limitations may apply to camp events held outside the Dakotas Conference. Your privacy in this matter is important and we will do all we can to maintain that integrity.

Personal Information

Applicant First Name *

Applicant Last Name *

Camper Name(s) (if different than Applicant) Please list the first and last name of each camper applying for a campership. *

Address *

City *

State *

Zip *

Email *

Phone *

My Local Church Name (if a member or affiliated)

Pastor's Name

Pastor's Email

Pastor's Phone

Camp Information

In the fields below, please separate each camper's information with a comma.

Camp #

Camp Title

Camp Location

Camp Dates

Campership Request

In the fields below, please separate each camper's information with a comma.

Total Cost of Camp/Event *

Personal Funds (Amount I can put towards camp/event) *

My Local Church Support (Amount my church can put towards camp/event.)

Additional Support (Amount from other sources I can put towards camp/event.)

Balance Needed (The amount of campership funds you are requesting.) * I understand that available funds are limited, and I will be notified of my actual campership award. *

Questions

 Please briefly explain your reason for request of funds in support of the above camper(s). *    

Is this the only United Methodist camp/retreat event the applicant will attend this calendar year? *

Yes

 If you answered no, please share the name of the other camp(s) the applicant has attended/will attend this year and whether you received financial assistance. 
Note: There is a limit of one Dakotas UM campership per individual per year.        

 Please share briefly what your local church or other resource agency is doing to help you, or what you have attempted to use as a resource. Note: The local church should be the first line of assistance. *    

References

Please list a (non-family) reference who we can contact who would have some knowledge of your situation. Suggestions are your church pastor, secretary, youth worker, Sunday school teacher, school counselor, social worker, scout leader or other such person.

Reference Name *

Reference Email *

Reference Daytime Phone # *

Relationship *

Completion

By my typed signature below, I verify that the information on this application is true and correct. I understand that UMC Campership funds are limited and will be granted on an individual need basis.

Signature: *

Date:

We hope to see you this summer at camp, a life-changing and faith shaping experience, and promise to do whatever we can to make this possible!

God's blessings,
Dakotas United Methodist Camp Staff
Toll Free (855) 622-1973

Campership Application

Campership Application

Personal Information

Camp Information

Campership Request

Questions

References

Completion

We hope to see you this summer at camp, a life-changing and faith shaping experience, and promise to do whatever we can to make this possible!

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