Volunteer Alexandria's Snow Buddy Program - 2019/20 Application
Thank you for your interest in the Snow Buddy program.

By completing this form, you agree to share your address & phone number with Volunteer Alexandria, who then will share it with a volunteer(s), who will assist you with shoveling snow during the 2019/2020 winter season. This program is implemented by Volunteer Alexandria in partnership with the City of Alexandria.

Please complete this application no later than December15,  2019.
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Did you receive help from a Snow Buddy last winter (2018/2019)?
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Full Name *
Address *
Phone number *
Email
Tell us about your property
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Gender
Birth Year *
Age *
Do you have any regularly scheduled critical care appointments that you will need to attend this winter?
By clicking "verified", I verify that I am home-bound and/or disabled, and/or sixty years old or older, and that the total household income is at or below $48,508.                                                       I understand that if I give false information or withhold information I could be prohibited from using this program. *
We would like to better understand the needs in our community. Please let us know if you have any additional needs for volunteer assistance throughout the year.
If you have any questions you can contact Ian Sterne, Emergency Preparedness Manager for Volunteer Alexandria by email at emergencyresponse@volunteeralexandria.org or by phone 703.836.2176
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