How to Apply

Application for summer 2017 is now open. High school students entering 9th-12th grade in Fall 2017 are eligible to apply. 

Please allow approximately 30 uninterrupted minutes to complete your application, as you cannot save your progress.

The program will run August 21st - September 1st, 2017 with an overnight on August 25th. The cost of the program is $1,000. A minimum deposit of $150 will be due upon acceptance, and the remaining payment will be due by June 23rd, 2017. Scholarship are available, and we offer work-study options for staff applicants of New Country Day Camp. Participation in the program qualifies for service learning credit. For those interested in financial assistance, our scholarship application form can be found at the end of this page.

General Information
Name *
Name
Date of Birth *
Date of Birth
Address
Address
Parent / Guardian 1
Name *
Name
Phone *
Phone
Parent / Guardian 2
Name *
Name
Phone *
Phone
We want to learn more about you. Please answer two of the following four questions:
PLEASE COMPLETE ALL REMAINING QUESTIONS
You do not have to be Jewish to answer this question.
Are you applying for scholarship? *
See details below.
This form has been reviewed by my parent or guardian. *

Scholarship Application

Once you have submitted the above application form, if you are interested in financial assistance please provide a scholarship application. We will notify scholarship recipients in May. If a scholarship is not awarded, you may request that your deposit be refunded.