CampCares Application

Peer-Led Immersive Self-Healing Experience

The Why Within – VAREP Member’s Professional Development Camp

Live Immersion: August 1–5, 2026

Cost: $8,500 per Participant

Camp Program Overview

Phase 1 – Pre-Immersion (5 Days | Virtual)
Phase 2 – Live Immersion (3 Days + Travel) Care
Phase 3 – Post-Immersion (4 Weeks)
Phase 4 – CampCares Social Tribe™ (12 Months)
Phase 4a – Financial & Housing Counseling™

Program Investment Includes

Peer coach facilitation & program staff support
Live immersion experience
Airfare (if applicable) & coordinated travel
Lodging & group meals
Program activities, materials, and supplies
Pre- and post-program coordination
12 months CampCares Social Tribe™
Up to 12 months HUD-approved counseling
Resource navigation & referrals
Program administration & support

Travel Notice: Airfare (if applicable) and travel arrangements are coordinated by the program and subject to scheduling, availability, and funding parameters.

Participant Acknowledgement *

I understand the full program investment is $8,500

I have reviewed what is included in the program

VAREP Membership Requirement *

I attest that I am an active VAREP member

VAREP Grant Subsidy Request

I am requesting consideration for the Financial Hardship Grant (Grant awards are not guaranteed and are subject to review and available funding.)

CONFLICT OF INTEREST

Are you related to or do you have business ties to any VAREP staff, members of their immediate families, VAREP Board members, members of their immediate families, and such individual's business associates? *

Yes

APPLICANT INFORMATION

Eligibility Requirement *

How did you hear about this program? *

Other- How did you hear about this program?

MILITARY DETAILS

Branch of Service/Hero Affiliation *

Dates of deployments/ When will you deploy/ Location of deployments

COMMUNITY HERO DETAILS

Hero Category *

If"Other," please specify:

Agency Type

If "Other," please specify:

Current Status *

Active

Retired

PATRIOT SUPPORT DETAILS

MILITARY COMMUNITY, GOLD STAR, & SURVING SPOUSE

Family Status *

Married

Single

Divorced

Widowed

Member 1- add Name, Age, and Relation to Applicant

Member 2- add Name, Age, and Relation to Applicant

Member 3- add Name, Age, and Relation to Applicant

Member 4- add Name, Age, and Relation to Applicant

Member 5- add Name, Age, and Relation to Applicant

Are you currently employed? *

Yes

Employer Name (If Yes) *

Supervisor Name- If Employed *

Supervisor Phone- If Employed *

May We Contact Your Supervisor for Reference Check? *

Yes

PARTICIPANT ASSESSMENT

Are you currently working with a VA Counselor/ Therapist? *

Yes

Have you been approved to attend an alternative therapy with any other organization? If so, what is the name of the organization and what dates will you be attending the program? *

Have you attended, currently attending, or scheduled to attend other alternative programs? If so, please list them. *

Have you obtained other grants/ resources in the past 2 years from other organizations? If so, please list each one. *

Are you currently enrolled and/or participating in an alcohol or drug rehabilitation program? *

Yes

Do you have any limitations to prevent certain activities? *

Any medical assistance or special equipment needed to assist you while at the event? *

Are you allergic to any medications, food, or other substances? If Yes, please list them: *

Should you have an allergic event, what is your procedure? (If this doesn't apply to you, please enter N/A): *

Are you currently taking any medications and/ or have specific needs that we should be made aware of (i.e., seizures, blackouts, etc.)? (If this doesn't apply to you, please enter N/A) *

Please list below any concerns you may have while participating in the event.

PROGRAM FIT & READINESS

Why is CampCares™ the right program for you at this time? *

What are you hoping to gain from this experience? *

What has changed in your life that makes now the right time to attend? *

Commitment Confirmation *

I am prepared to fully participate in all phases of the program

Readiness Confirmation *

I confirm I am in a stable position to participate and am not in an immediate crisis situation

IN CASE OF EMERGENCY CONTACT INFO

Name of Primary Emergency Contact *

Name of Secondary Emergency Contact *

GEAR SIZES/ INFORMATION

Shoulders (Inches) *

REFERENCES- LIST 2 REFERENCES

Reference 1 Name

Phone (Reference 1) *

Reference 2 Name

Phone (Reference 2) *

DOCUMENT DOWNLOADS

Please Download each document below, read them carefully, sign each document, and upload them below in the corresponding section below.

DD214 *

PDF, GIF, PNG, JPEG or JPG Accepted file types: jpg, gif, png, pdf.

VA Disability Letter- If Applicable