New applications will be accepted on Wednesdays from 8am to 6pm ONLY. During this time, the application will be available below; otherwise, you WILL NOT see the application on this page.
When completing this form, be sure to place/click the cursor into the appropriate text field before using the Backspace key to delete. Failure to do so could result in losing all of the information you have entered.
If you have questions about completing this form, call us at 843.628.2110 or email us.
PLEASE NOTE: We are experiencing a significant increase in individuals/families seeking assistance at this time. Please be patient, and a Case Manager will contact as soon as possible. DO NOT SUBMIT MULTIPLE APPLICATIONS.