C.A.R. Program Qualification Form
Please answer ALL questions truthfully, missing information will not be considered. You will receive a reply within 2 business days.
Email address *
Name *
Your answer
Do you currently have a valid drivers license?
Does anyone living in your household own a vehicle?
Do you own a vehicle that is in need of repair?
Are you willing to attend 6 manditory classes?
Are you willing to do community service?
Do you attend Ginghamsburg Church or other Ginghamsburg Campuses?
What type of vehicle would you prefer?
Can you drive a stick shift vehicle?
Address *
Your answer
City, State and Zip Code *
Your answer
Phone number
Your answer
What is the best way to contact you during normal business hours?
Daytime phone number
Your answer
Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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