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 address
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Your email
Name
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Your answer
Do you currently have a valid drivers license?
Yes
No
Clear selection
Does anyone living in your household own a vehicle?
Yes
No
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Do you own a vehicle that is in need of repair?
Yes
No
Clear selection
Are you willing to attend 6 manditory classes?
Yes
No
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Are you willing to do community service?
Yes
No
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Do you attend Ginghamsburg Church or other Ginghamsburg Campuses?
Yes
No
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What type of vehicle would you prefer?
2 door car
4 door car
van
pick-up truck
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Can you drive a stick shift vehicle?
Yes
No
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Address
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Your answer
City, State and Zip Code
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Your answer
Phone number
Your answer
What is the best way to contact you during normal business hours?
US Mail
Email
Phone call
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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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