Scholarship Application

Scholarship Application

Please fill out this form as accurately as possible. If you require any assistance in completing your application, please feel free to email the camp office.

All applications must be accompanied by:

1. A Camp Registration form.

2. A copy of your 2025 tax returns, which can be emailed to our camp office with the header "CGI Scholarship Committee - Confidential".

All scholarships are handled in a sensitive manner, with absolute confidentiality. You will be contacted with the committee's decision when it becomes available. You must respond to the Camp Gan Israel office before the included deadline in order to accept the scholarship. If you are not satisfied with the committee's decision, your card will not be charged and all deposits will be returned in full.

Parent 1

Full Name*

E-mail*

Phone Number*

Area Code Phone Number

Employer*

Job Title*

City of Residence*

Marital Status*

Parent 2

Full Name

E-mail

Phone Number

Area Code Phone Number

Employer

Job Title

City of Residence

Marital Status

Name of Child Applying for Scholarship*

First Name, Last Name

Date of Birth*

Month Day Year

How many weeks will your child be attending camp?*

Child 2 Full Name

First Name, Last Name

Date of Birth

Month Day Year

How many weeks will your child be attending camp?

Child 3 Full Name

First Name, Last Name

Date of Birth

Month Day Year

How many weeks will your child be attending camp?

Parent(s) claiming the child for tax purposes. Please answer these questions as listed on your 2021 tax returns.

2025 Federal Tax Return: Adjusted Gross Income*

2025 Federal Tax Return: Filing Status*

Total Number of Exemptions Claimed (Line 6D on your 1040 returns)*

Number of Children in the Family

Number of Adults in the Family

Non-taxable Income (unlisted)*

Expected Income 2026*

Statement of Need:

Describe any circumstances that support your request for financial aid. The more details you provide, the better we can understand your situation.*

Is there something you or a family member can offer to enhance our camp? A talent to share? Some time to volunteer?

Reference:

Please provide a rabbinic or personal reference who may be contacted to confirm the information provided above.

Full Name*

Phone Number*

Area Code Phone Number

E-mail

Tuition Fees Information:

Amount of Full Tuition

What can you pay towards camp tuition?*

How much can you receive from other sources (friends or family)?

Please explain source:

Funding from any other agencies or grants:

Please explain source:

Total Amount Requested*

I confirm that all the information contained above is accurate to the best of my knowledge.

Full Name*

First Name Last Name

Date*

Month Day Year

Email (for email confirmation and receipt)*

*

I have submitted a Camp Registration form.

*

I understand that my application is not complete until I have emailed a copy of my 2025 tax return to the camp office with the header "CGI Scholarship Committee - Confidential."

Camp Gan Israel Milwaukee

Parents

Children

Financial

Signature

Camp Address