2018/19 Snow Buddies Application
Thank you for your interest in the Snow Buddy program.

By completing this form, you agree to share your address with Volunteer Alexandria, who then will share it with a volunteer, who will assist you with shoveling snow during the 2017/2018 winter season.

Please complete this application no later than December 20 2018.

Full Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email
Your answer
Gender
Your answer
Birth Year *
Your answer
Age *
Your answer
By clicking "verified" to this application, I verify that I am homebound 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. *
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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