C.A.R. Program Qualification Form
Please answer ALL questions truthfully, missing information will not be considered. You will receive a reply within 5 business days.
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Email *
Name *
Do you currently have a valid drivers license?
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Does anyone living in your household own a vehicle?
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Do you own a vehicle that is in need of repair?
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Are you willing to attend 6 manditory classes?
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Are you willing to do community service?
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Do you attend Ginghamsburg Church or other Ginghamsburg Campuses?
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What type of vehicle would you prefer?
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Can you drive a stick shift vehicle?
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Address *
City, State and Zip Code *
Phone number
What is the best way to contact you during normal business hours?
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Daytime phone number
A copy of your responses will be emailed to the address you provided.
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