St. Andrew's Parks & Playground Scholarship Application
Completion of application does not guarantee a spot in the program.

To guarantee a spot in the program, you must register for the program and if a scholarship is awarded, you will then be issued a refund for the amount that the scholarship committee awards.

Please note: In order to provide the maximum amount of scholarships to qualified participants, St. Andrew's will only provide one scholarship per request. (I.E. One week of summer camp, one session of a dance class etc.). Only one scholarship will be allocated per person each fiscal year.
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Date *
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Email *
Phone # *
Parent / Guardian Name *
Address / City / State / Zip *
Name of Employer *
Employer's phone # *
Qualifying Information
Verification stating that the applicant qualifies for free or reduced lunch must accompany this application at the time of submission. Applications not filled out in full and/or without lunch program verification will not be accepted. If child is not in school yet or is home schooled, parents must turn in verification of household income with a W2 form. Applicant and family must be in good financial standings with St. Andrew's Parks and Playgrounds and St. Andrew's Family Fitness Plus. Please email either verification of reduced lunch or a W2 form to customerservice@standrewsparks.com. Or you may drop off the required information to 1095 Playground Rd. Charleston, SC 29407 Monday - Thursday 8:30 am - 5:30 pm and Friday 8:30 am - 4:00 pm.
Will you email or drop off verification of reduced/free lunch or W2? *
Insurance company *
Insurance policy number *
Annual Household Income? *Annual household income includes all income of all household members: wages, salary, social security, public assistance, child care assistance, unemployment insurance, child/spouse support, pension/retirement and all other sources of income. *
Number of dependent children? *
Total Family members in Household? *
Monthly rent/mortgage payments? Please list type and amount. Example: Rent, $650. *
List all outstanding bills *
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