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Shepherd's Center of Northern Virginia

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Client Application

› Client Application

Thank you for your interest in becoming an SCNOVA Client. Client is the term we use for the seniors we serve. If you want to receive services such as Transportation, Food Delivery, Friendly Caller, Friendly Visitor, Minor Home Repair, or Health Advocacy, please first complete a Client Application here. You do not need to complete a client application for AIL, Caregivers Support, Health & Wellness classes, or Social Events – although all our clients can avail themselves of these services.

There are three ways to complete a Client application:

  1. fill out the online form below (preferred)
  2. download the Client Agreement here, fill it out, sign and return it by email to: online@scnova.org or mail it to Attn: Volunteer, SCNOVA, 541 Marshall Road SW, Vienna, Virginia 22180.
  3. Download the client Information Sheet here, fill it out on line and email it to office@scnova.org
  4. If you have questions or need assistance please contact our office at (703) 260-9568.

Step 1 of 3

33%
  • Please complete the rest of the Application with only the Applicant's information
  • MM slash DD slash YYYY
    You or another in the household having a physical or mental impairment that substantially limits one or more major life activities; hearing, visibility, mobility, chronic alcoholism, mental illness, AIDS.
  • Emergency Contact
  • This field is for validation purposes and should be left unchanged.

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Services We Offer

  • Adventures in Learning (Classes)
  • Caregivers Support Group
  • Food Delivery
  • Friendly Caller Program
  • Friendly Visitor Program
  • Health & Wellness
  • Minor Home Repairs
  • Senior Citizen Transport
  • Social Events
  • Service Territories
Seniors outside laughing and hugging

You can make a difference in someone’s life today.

Helping in any way makes a difference.

Donate Volunteer

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SC Nova Logo White
541 Marshall Rd SW
Vienna, VA 22180
(703) 260-9568

Since 1998, the Shepherd’s Center of Northern Virginia (SCNOVA), a 501(c)(3) non-profit organization, has been dedicated to improving the quality of life as we age, through supportive programs and services, personal enrichment and volunteer engagement that enable our senior neighbors to live full and productive lives while aging in place.

Services

  • Adventures in Learning (Classes)
  • Caregivers Support Group
  • Food Delivery
  • Friendly Caller Program
  • Friendly Visitor Program
  • Health & Wellness
  • Minor Home Repairs
  • Senior Citizen Transport
  • Social Events
  • Service Territories

Resources

  • About
  • Blog
  • Board and Staff
  • Contact
  • Testimonials
  • Mission
  • Accessibility

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