CARes Loan Application Form

Car Ownership Program Loan Application

Into a CAR and onto FINANCIAL INDEPENDENCE
Please make sure you meet the program's minimum qualifications before you apply:
- Be 18 years old or older
- Have a Valid NC Driver's License
- Live in Forsyth, Davie, or Davidson County NC
- Be Employed and Work at least 30 hours per week
- Have sufficient income to afford monthly payments of $250 to $350 and car insurance
- Have a Credit Score less than 600
- Be willing to participate in the financial education coaching and credit counseling that is part of the application process
*** Down Payment of $300 is required at the time of purchasing the car***

This application does not allow you to save and exit, so plan to complete the application in one sitting.
CONTACT INFORMATION
Full Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Due to funding limitations, we cannot accept applications from individuals outside of our service area. Our service area currently includes Davie, Davidson, and Forsyth Counties in N.C. If you live outside of those three counties please contact 2-1-1 to find transportation options in your area.

Please list previous addresses (need 5 years of history)*

	Street address	city and State	Dates at address
1st
2nd
3rd

Race/Ethnicity*

Native American or Alaska NativeAsianAfrican American/BlackHispanic / LatinoNative Hawaiian or Other Pacific IslanderMulti-RacialWhiteOthers
Are You a Veteran of the Armed Forces?

YesNo
Marital Status:*

Single (never married)MarriedDivorced/WidowOther
Gender*

MaleFemaleOther
E-mail (PLEASE NOTE: our first contact with you will be through email)*
example@example.com
Phone*
Social Security Number:*
000-00-0000
NC License Number:*
Date Issued*

MonthDayYear
Date
Date Expired*

MonthDayYear
Date
How do you currently get to work or school?*

Public Transit(Bus)Faulty CarGetting rides from friends or familyBorrowed carPaid service (taxi, Uber, etc.)WalkOther
Does the address on your license match your current address?*

YesNo
How many hours do you spend in transit each week to work?
Have you been convicted for any moving violations during the preceding thirty-six (36) months? If yes, list the violation(s) and date(s) of occurrence:*
Have you been involved in any motor vehicle collisions or accidents, at-fault or not-at-fault, during the last thirty-six (36) months? If yes, give dates of occurrence and brief explanation:*
How did you hear about The CARes Project?*
If you were referred, please identify the name of the agency and/or individual (For example, *211, Head Start, Truist Bank, etc.) If you were not referred, please write "NA"*
EDUCATION
Highest level of Education Completed*
Degree/Certification Earned

Past Education

	School Name	Major	Full/Part TIme	Online/In-person	Dates (MM/YY)	Degree/Certification Earned

EMPLOYMENT
Present Employer*
Occupation*
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone*
Please enter a valid phone number.
How often do you get paid?*
Type of employment*

HourlySalary
Hourly Rate*
Average Hours Per Week*
Date Hired*

MonthDayYear
Date
Supervisor Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Employer Previous to Current Employment*
Occupation*
Business Phone*
Please enter a valid phone number.
Supervisor Name

First NameLast Name
Hourly Rate*
Average Hours Worked per Week*
Date Hired*

MonthDayYear
Date
Date Employment Ended*

MonthDayYear
Date

Please watch the following brief video on financial planning and budgeting, then answer the questions below the video.
What does "being on a budget" mean to you?*
What was the most helpful idea for you that was presented in the video?*
If you are on a budget, can you do things like eat out or go to a movie? Why or why not?*
Are you comfortable with your financial life as it is now?*
Privacy Policy and SID Agreement

Only signatures needed
Privacy Policy
The information gathered from clients is used internally by The CARes Project management and staff to better serve each client. Client data is kept in a locked file when not in use and/or on a secure computer. This information includes personal information, credit information, and payment* information (*if the client gets a loan through CARes).

Since a major goal of The CARes Project is to help clients improve their credit, car loan, and related payment information will be shared with the credit reporting agencies (Experian, and/or TransUnion) if a client gets a loan through CARes. CARes reserves the right to share client personal information for the purpose of collection on CARes car loan debt by a third-party collection agency.

CARes reserves the right to share client personal information with a vehicle recovery service should a client default on a loan and not cooperate on the recovery of the vehicle related to that default. Use of a collection agency or recovery service is a last resort for The CARes Project and can be avoided in most cases if the client remains in good communication with The CARes Project staff and voluntarily returns the vehicle to CARes if the client defaults on the loan and all other options (as determined by CARes staff) have been exhausted.

The “Client Application” form also contains a release for The CARes Project, Inc. staff to confirm the information on the application. Clients must complete and sign the “Client Application” to begin the process with The CARes Project.

The Community Loan Committee will be provided certain information about each client for the purpose of approving (or denying) a loan. This information does not include names or addresses of clients and is anonymous data without personal identifiers. Only staff of The CARes Project has access to specific information about each client. From time to time, The CARes Project may ask a client if their story can be shared with others beyond the staff of The CARes Project. This may be related to publicity for The CARes Project or for United Way agencies and other funding partners. The client may refuse this request and there would be no repercussions. Should a client agree to have some of their personal information shared, they may choose to share it themselves in person or in writing (if the document is signed by the client). Other than when a client agrees to share their information in person, a release form will be signed by the client that allows The CARes Project to share personal information about that client.

It is important for The CARes Project to track client progress through the program. Client personal information will only be accessible by the staff of The CARes Project. Aggregate and anonymous data may be shared with others for compliance, marketing, and fundraising. “Aggregate” and “anonymous” data is defined as information without identifiers that would allow specific data to be tracked back to a client.

All clients will have access to a copy of this “Privacy Policy” at the time that they apply to become a client of The CARes Project. Each client will also get access to a two-page “Use of client's Information” document. Any updates to these documents will be mailed to all active clients within 30 days of the updated documents being approved by the Board of Directors of The CARes Project, Inc.
Acknowledge and Agreement
I, (print name) First Name Last Name have access to a copy of the "Privacy Policy" and a copy of "Use of Client's Information" via the website.
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Starter Interrupt Device (SID) Agreement
I,First Name* Last Name* (client name) acknowledge and agree to the terms set forth in this agreement. The client agrees to comply with this agreement without exception. Failure to comply with this agreement would violate the terms of the car loan provided to this client and can result in the immediate repossession of the vehicle. The agreement automatically expires when the client pays off the balance of the loan and receives the vehicle title from CARes. This agreement is subject to revision to comply with all applicable laws, rules, and regulations.
THE CLIENT WILL NOT tamper with or remove or have anyone else tamper with or remove the device without permission from The CARes Project, Inc.
THE CLIENT ACKNOWLEDGES that this is an electronic device. Should this device malfunction, the client agrees to contact CARes immediately and work out the replacement of the device. Since CARes has no way to know in advance of a possible malfunction, the client agrees to hold CARes harmless in the event of such malfunction. Should the device malfunction, CARes will replace the unit without additional cost to the client however the client must make the vehicle available for this replacement process. CARes does not provide rental assistance if the client’s vehicle is in the shop, however, CARes will do everything possible to expedite the replacement.
THE DEVICE has the ability to electronically disable the starter. The device does NOT turn off a car if it is already running. The device is powered by the battery in the car – however, the device uses about the same amount of energy as the presets on the radio. Should the car not start, and the client is not
behind on payments, the cause is most likely a faulty battery and is not a result of the device.
SHOULD A CLIENT FALL BEHIND ON PAYMENT they should stay in touch with a representative of The CARes Project. As a general practice CARes would only “turn off the starter” if the client is behind on a payment or payments and has not contacted a representative of The CARes Project. If CARes cannot reach a client, and the client is falling behind on payment(s), it may necessitate that CARes “turn off the starter” to get the attention of the client so that the client contacts CARes.
THE DEVICE HAS A GPS FUNCTION that allows CARes to know where the vehicle is at any time. This can be useful to a client if the vehicle is stolen since CARes can assist the authorities in the recovery of the vehicle for the client. Should a client become seriously delinquent on their loan, CARes could be forced to repossess the vehicle – CARes considers this the last resort. The GPS function in this device would aid CARes in the recovery of the vehicle.
WHEN THE LOAN IS PAID OFF CARes will pay a mechanic (approved by CARes) to remove the device from the vehicle without cost to the client as long as the client makes the vehicle available for this within 90 days of the payoff of the loan.

By signing here, I agree to the terms and conditions listed above
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date

Credit Release Agreement*

If I receive a loan, I understand that non-payment may result in collection activity such as: repossession, third-party collections, legal action, or wage assignment (as allowed by law). I understand that failure to make timely payments on the loan or not fully pay off such loan may negatively impact my credit score. If in default, I authorize the Cares Project, Inc. to release information to third-parties necessary for collection activity. We use “soft pulls” of client data to assist us with financial education. While we do not use credit score or history to determine if an applicant gets a vehicle loan from us, having access to an applicant’s credit report helps us to accomplish financial and credit coaching of our clients. I hereby authorize The CARes Project, Inc. to access my credit report as part of the application process, twice a year during the life of the loan, and twice following loan payoff for purposes of providing me with financial counseling and to track the financial success of CARes Project clients. I understand that this inquiry into my credit constitutes a “soft inquiry” and will not adversely affect my credit or credit rating. While this credit report and score pulled by The CARes Project, Inc. on my behalf will be used to provide me with financial counseling, it is understood that I will not receive a copy of this credit report. Notwithstanding the foregoing, I understand that I have the right to dispute information with the credit bureau, to request investigation, and to have corrected reports reissued to previous recipients of this credit report, if warranted. I understand that credit information is sensitive and there may be inherent risks to accessing such data; I have had the opportunity to ask a CARes Project Financial Coach questions regarding such risks. I further understand that all my personal information will be held confidential by The CARes Project, Inc.
Today's Date*

MonthDayYear
Date
Client Release Agreement*

I agree to allow The CARes Project, Inc. to use photo or photos of me and/or the car I purchased with a CARes loan for publicity and promotion of The CARes Project, Inc. I agree to allow The CARes Project, Inc. to also use my name and the fact that I’m a client of CARes Project, Inc., for publicity and promotion of The CARes Project, Inc. I also agree that CARes can mention if I have a child or children as part the publicity and promotion of The CARes Project, Inc. CARes may also mention what type of work I perform as part of the publicity and promotion of The CARes Project, Inc. This release does not allow CARes to release the name or names of my children, photos of them, my home address, or phone number(s). Should CARes wish to use the photo of a child of a client, the client would sign a different release spelling that out in detail. I understand that I may rescind (cancel) this release at any time by providing written notice to CARes that I wish for CARes to cease in using my photo, name, etc. Upon receiving written notice from the client that they wish to rescind this release, CARes will cease using the client’s photo and other information listed above as soon as possible. I acknowledge that CARes cannot take back information that has already been released prior to receiving my written notice that I wish to rescind this release.I do not agree to allow The CARes Project, Inc. to use photo or photos of me and/or the car I purchased with a CARes loan for publicity and promotion of The CARes Project, Inc.
Any vehicle made possible through The Cares Project is your responsibility. The Cares Project does not guarantee the vehicle. Warranties, if any, of any kind, on any vehicle, are between the dealership and the client.

I certify that the information provided throughout this application is true and correct. I am aware that the information I have provided is subject to review and verification. I allow the release of this information for verification purposes and understand that it will be used to determine eligibility.
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Will you be applying with a co-applicant? (If yes, please fill in co-applicant information below)*

YesNo
Co-Applicant
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
I acknowledge that when this application is submitted, the co-applicant will receive an application that is required in order for my application to proceed.
Required Documents/File Uploads

Please attach the following documents to help expedite your application. If you do not attach them now, you will receive an email requesting them:
Cancelof
- Current Driver's License or Government Issued ID
- Two most recent pay stubs or proof of income (4 stubs if you are paid weekly, 2 if you are paid bi-weekly, and 2 if you are paid monthly)
- Two most recent complete monthly bank statements (including all transactions) (single PDF)
- Additional recent monthly bank statements (including all transactions)
Should be Empty:

	Name	Employed/School	Relationship	DOB	Age
1
2
3
4
5
6

	Pay Schedule	Gross Earning per Pay Period	Net Earnings (take home pay/after taxes) per Pay Period	Monthly Income
Employment Income
Second Income
Food Stamps
Child Support
Other
Total Income

	Name	Relationship	Number	Email	address
Reference 1
Reference 2
Reference 3
Reference 4

Car Ownership Program Loan Application

CONTACT INFORMATION

EDUCATION

EMPLOYMENT

HOUSEHOLD

Privacy Policy and SID Agreement

Privacy Policy

Acknowledge and Agreement

Starter Interrupt Device (SID) Agreement

Co-Applicant