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843-365-8884 ● 2404 WISE ROAD, CONWAY, SC 29526 ●
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Shoreline Behavioral Health Services - Conway, SC
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Guardian Academy Application

Guardian Academy Application Form

"*" indicates required fields

Step 1 of 6

16%
Legal Name*
Address*
MM slash DD slash YYYY
Gender
I live within the city limits of Myrtle Beach*

Employment

Business Address*
I work within the city limits of Myrtle Beach*

Education

College Degree

Criminal History

Have you ever been convicted of a crime? (Excluding Traffic)*

Questionnaire

Commitment to Attendance

The Guardian Academy is a four-week program, which meets on three (3) Monday and one (1) Tuesday evenings from 6:00pm-8:00pm. Attendance is the most important factor in reaching the desired goal of the program. Therefore, attendance is encouraged for all four weeks.

Signature of Acknowledgement

The City of Myrtle Beach is an Equal Opportunity Employer and applies those same principles to selection of participants in the Guardian Academy. Selection is done without regard to race, religion, color, national origin, sex, age, political affiliation or disability. ADA Notice: The City of Myrtle Beach will not discriminate against qualified individuals on the basis of disability in its services, programs or activities. The city will make all reasonable modifications to policies and programs to ensure that people with disabilities have an equal opportunity to enjoy its programs, services, and activities. Call 843-918-1806 for more information. I certify that all statements made on this application are true and complete. I understand that I may be rejected for submitting incomplete or false information. I herby authorize employees of the Myrtle Beach Police Department to make an examination of the above information for the purpose of evaluating my application.
MM slash DD slash YYYY
IMPORTANT: Class size is limited. Residents and citizens who live and/or work within the city limits of Myrtle Beach are given first priority

CONTACT INFO

Shoreline Behavioral Health Services
2404 Wise Road
Conway, SC 29526

P: 843-365-8884
F: 843-365-6685
E: help@shorelinebhs.org

HOURS

Mon: 8:00 am – 7:00 pm
Tues: 8:00 am – 7:00 pm
Wed: 8:00 am – 7:00 pm
Thurs: 8:00 am – 7:00 pm
Fri: 8:00 am – 5:00 pm

Open Access (No Appt Needed):
Mon – Weds 10 am – 2 pm
Fri 9 am – 12:30 pm

Recent News

  • Number of opioid overdose deaths not down, coroner saysJune 13, 2019
  • Cracking Down on Underage DrinkingJune 6, 2019
  • Vending Machine Dispenses Information on OpioidsJune 6, 2019
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