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.
* Required
Email address
*
Your email
Name
*
Your answer
Do you currently have a valid drivers license?
Yes
No
Does anyone living in your household own a vehicle?
Yes
No
Do you own a vehicle that is in need of repair?
Yes
No
Are you willing to attend 6 manditory classes?
Yes
No
Are you willing to do community service?
Yes
No
Do you attend Ginghamsburg Church or other Ginghamsburg Campuses?
Yes
No
What type of vehicle would you prefer?
2 door car
4 door car
van
pick-up truck
Can you drive a stick shift vehicle?
Yes
No
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?
US Mail
Email
Phone call
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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