Application Form

INSTRUCTIONS FOR CAMPS AND AGENCIES: The form below is to be used by Camp organizations and agencies
that are requesting “Campership” Funding for the coming summer from The New Rochelle Campership Fund Inc Please
complete by March 24th, and hit the SUBMIT button.. Each Agency/Camp has been assigned a board member as a
liaison to assist them in this process. Please contact your liaison for any help. If not listed (or new) contact Anne Almazar.

IF YOU ARE TRYING TO ENROLL YOUR CHILD: Please Click HERE

CAMPS / AGENCIES	BOARD LIAISON	PHONE (914)	EMAIL
NR Schools, Pelham Art center	Carol Feldman	914 949-3892	cbfeld@gmail.com
NR Park & Recreation, Ther. Rec. Vacation, West. Jewish Comm. Ser., Hudson Montessori	Joanne Goldman	914 576-4256	jgoldman@nred.org
Any new camps or agencies or if unsure	Anne Almazar	914 505-2545	aalmazar7@gmail.com
YMCA, Guidance Center	Kelly Johnson	914 654-2045	kjohnson@newrochelleny.co m
Eureka,Vacamas	Jeannette Martinez	914 282-2904	jmartinez2@nred.org
Youth Bureau, Academic Pathways	Ann Spindel	914 632-1264	als37@columbia.edu
Songcatchers, Girl Scouts	Anne Almazar	914 505-2545	aalmazar@g mail.com
Trinity School PTA camp	Bryan Grossbauer	917 434-9208	bryan.grossbauer@gmail.com
NR Day Nursery, Boys & Girls	Anne Almazar	914 505-2545	aalmazar7@gmail.com

KEY 2019 DATES FOR THE APPLICATION PROCESS
By February 13 – board will decide on total funding budget available for the year
by March 31st – you must submit the application below, and make sure you talked to your liaison about your request
On April 24th – the board will meet with the selected camps to review applications
By April 27th – the board will meet to allocate funds
By May 3rd – you will be informed of your allocation
By July 15 – inform us if there are changes that may effect the amount of the allocation you requested (e.g. Less campers)
By Sept. 15 – final date to get your final accounting in of the dollars actually used that you want reimbursed
By October 15 – you should receive your check for the Camperships

* Organization Name

* Full Mailing Address

* Camp Location (if different from mailing address, if same write "same")

First Application for yearUpdated Application

Tell us what changed

* Primary Contact Name

* Primary Contact Phone

* Primary Contact Email

* Type in name of person completing this form

Secondary Contact Name

Secondary Contact Phone

Secondary Contact Email

* Dollar Amount Requested

* Number of Campers to be Supported

* Total Camp Budget

Total Organization Budget

Weekly cost per camper

GeographicArea Served by Camp Select

* Tell us about the camp program and any other information you think we should know Please include the dates and duration of your program

* Tell us the impact our grant will have on your program. If you received more or less what would happen?

* What specific criteria are used for selecting Campership recipients and determining individual award amounts? What methods do you use to verify financial need?

CHECK THE APPROPRIATE ANSWER FOR EACH OF THE BELOW THREE QUESTIONS

Are you a not-for-profit?

Do you meet all relevant permit requirements?

Do you have Income Eligibility Requirements?

* indicates required field

Note: All recipients must be New Rochelle children who demonstrate financial need . (Example: Receive free or reduced lunch)

We seek to fund new children in need each year.

If funding is to be used for the entire camp program, please explain how the above criteria re: financial need will be met.

You must click this submit button to send this information. You will then see a copy of your submission you can print.

Please also submit a copy of your 2017 CAMP PERMIT and send to : New Rochelle Campership Fund P.O. Box 255 New Rochelle, NY 10804