Campership Request

The community of Camp Shalom is committed to providing people of all ages a Spirit-filled experience in a time and place apart. As part of this commitment, we actively raise funds to provide camp scholarships. These “camperships” are available to any child, or family who is experiencing financial hardship regardless of their church affiliation and/or history with Camp Shalom.

We receive Campership applications daily which are filed in the order they are received. Feel free to fill one out today!

All Campership reservations will be awarded after April 15th, 2024. 

Any reservation made before April 15, 2024 will not be eligible to have a Campership award applied.

Any questions, please contact us at (563)323-2790 /

Campership applications can be submitted using the online application below,


you can download an application using the red button and submit the application by fax or mail to the Camp Shalom office.


Campership Request Form

Please complete this form and submit

Camper's Name
Has this camper previously received Campership assistance
Parent/Guardian Name
Parent/Guaridan Address