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Campership Application 2027

Camp Ho Mita Koda Foundation believes that every child who desires a place at camp should be able to attend. With the help of generous donors, we are thrilled to be able to provide full and partial financial aid awards each summer. These are extended to campers with a family need and/or new Type 1 Diabetes diagnosis.

Please read through the campership application and complete every question in its entirety prior to submission. Incomplete applications will not be considered.

CLICK HERE to read more about our financial aid requirements.

One form of documentation is required with most applications, depending on the criteria you are applying under. Please have it ready prior to beginning the application:
  • Family Income: Most recent federal tax return 1040 (page 1 & 2) available to upload.
  • Receipt of Medicare/Medicaid: Photo of your current insurance card or other documentation
  • Newly Diagnosed with T1D or Multiple children with T1D: Hospital discharge paperwork or other medical documentation
  • Receipt of other government assistance: Photo of EBT or WIC card or other documentation
  • Medical expenses: Receipts or other documentation showing these costs
  • Screened for T1D: Screening results (must be paired with another criteria)

If you have any questions, please reach out to info@camphomitakoda.org or call 440-739-4095.
1.Which upcoming program are you requesting financial aid for?(Required.)
2.Date of Submission(Required.)
Date
  • 1900
  • 1901
  • 1902
  • 1903
  • 1904
  • 1905
  • 1906
  • 1907
  • 1908
  • 1909
  • 1910
  • 1911
  • 1912
  • 1913
  • 1914
  • 1915
  • 1916
SuSunday
MoMonday
TuTuesday
WeWednesday
ThThursday
FrFriday
SaSaturday
3.Camper Information(Required.)
4.Which best describes your camper's situation?(Required.)
5.Number of children under 18 (including camper) living in household(Required.)
6.Number of adults living in the household(Required.)
7.Primary Parent/Guardian Contact Information(Required.)
8.Please select all of the eligibility criteria that apply to your situation.(Required.)
9.Attach documentation to support your application(Required.)
No file chosen
Accepted forms of documentation:
  • Family Income: Most recent federal tax return 1040 (page 1 & 2) available to upload.
  • Receipt of Medicare/Medicaid: Photo of your current insurance card or other documentation
  • Newly Diagnosed with T1D or Multiple children with T1D: Hospital discharge paperwork or other medical documentation
  • Receipt of other government assistance: Photo of EBT or WIC card or other documentation
  • Medical expenses: Receipts or other documentation showing these costs
  • Screened for T1D: Screening results (must be paired with another criteria)
10.If needed, you can attach another file here.
No file chosen
11.If applying under the family income criteria, please answer this question:
12.We want to understand your request for aid. If the info above does not accurately reflect your financial situation or extenuating circumstances, please provide additional details outlining your “need” to be taken into consideration.
13.Do you need help with transportation to/from camp?

If so, we will reach out to you to discuss your situation in greater detail and see how we can help.(Required.)
14.Campership Guidelines

• I certify that the information reflected and responses are true to the best of my knowledge.

• I have read the Objective Standards for Campership Eligibility and can verify that the applicant meets the
eligibility requirements. https://www.camphomitakoda.org/financial-assistance/.

• I understand that Camperships will be awarded based on need on a first-come, first-served basis, and viewed/awarded in the order of receipt to Camp Ho Mita Koda Foundation.

• I understand that the submittal of this application is not a guarantee for an award.

• I understand that any misrepresentation or false statement of financials/need, may result in disqualification and/or termination of an award.

• I understand that the Campership application must include income verification if applying for an award under family income criteria. I understand that additional income verification documents, such as recent pay stubs, may be requested to verify income.

• I understand that the Campership award is only applied to the camp fee. Camperships are not eligible to be applied to camp add-ons such as donations or to the camp store account. The award has no “cash value”.

• If selected for an award, I understand that there is a 30-day expiration date and that I must fully enroll or the award is no longer valid and the award is released to another applicant.

• If awarded a full campership, I understand that there is a $50 No-Show Fee if my child does not attend their camp session and does not notify us that they will not be attending.

• If awarded a partial campership, I understand that there is a $100 deposit due upon enrollment and the balance is due 2 weeks before the start of your camp session.

• I understand that awards are unable to be applied retroactively and must not enroll prior to an award being given.

I certify that I understand all of the above information, and if awarded a campership, will abide by the rules and regulations of the Camp Ho Mita Koda Foundation Financial Assistance program.(Required.)
Current Progress,
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