VFV - Elect A Vet Outreach Project Nomination
We consider veterans who have an overwhelming financial or medical burden in need of home repair/maintenance or quality of life improvement. Selection is based on need and availability and is subject to board approval. Qualified applicants must agree to physical and home assessment prior to selection.
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Your relation to the Veteran
If you are completing this form on behalf of a Veteran, please enter your name and cell phone number.
Branch of the Military
Which best describes your demographic area
Upper Perkiomen and surrounding communities
Far NE Philadelphia 19154 and surrounding neighborhoods
Veteran's Street Address
Veteran's City, State
Veteran's Zip Code
Veteran's Phone Number
Please briefly describe the needed home repair / quality of life improvement
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This form was created inside of parkwood youth organization.