Apply for Vehicle - Beloved Church

Motors Ministry Application

The Motors Ministry helps individuals with transportation difficulties by matching them with vehicles that match their needs. Additionally, the ministry assists with repairs on otherwise reliable vehicles.

A qualified candidate to receive vehicle assistance is one that:

Has a valid driver’s license
Has the ability to obtain and maintain insurance
Otherwise financially self-sufficient and able to care for the car
Regularly attends Beloved Church or another gospel-centered church
Agrees to complete financial counseling

Instructions

A complete application includes:

Application (this form) completed in it’s entirety
Current expenses
Two months bank and/or credit card statements
Copies of any investment, IRA, or 401k statements
Past due billing statements
Any other related documents pertaining to your financial request

If approved, the applicant must be willing to complete up to 4 meetings of financial counseling. These meetings are designed to help with creating a budget and tracking spending so that expenses associated with the new vehicle are met (insurance, tolls, etc.) and to help with financial freedom.

Basic information

Name

Phone number

Address

Street Address City State / Province / Region ZIP / Postal Code

Do you own or rent?

How long have you lived at the address?

Spouse's name (if applicable)

Name and ages of children currently living with you (if applicable)

What is the crisis or situation that has caused you to ask for assistance?

Monthly Expenses

Rent/mortgage

HOA

Homeowner Association

Electric

Water

Auto Payments

Auto Insurance

You may need to determine the monthly amount by dividing the total by the number of months of coverage.

Auto Gas

Cell Phone

Groceries

Health Insurance

Internet

Childcare

Clothing

Credit Card/ Debt Interest

Child Support

Alimony

Medical Bills

Judgments

Cable TV / Subscriptions

Entertainment

Tithe

Other

Total

Income and Financial Assistance

Are you employed?

Yes

What is your income from your job?

Example: $10/hour, $1,500/month, etc.

Where do you work?

How long have you been at this job?

How long have you been unemployed?

Does anyone else in your household work?

Yes

Could include spouse, older children, roommate(s)

Are you receiving financial assistance from any other sources?

Yes, Family

Yes, Other Churches

Yes, Social Security Income (SSI)

Yes, Disability

Yes, Unemployment

Have you received assistance from Beloved in the past?

Yes

Are any relatives able to provide additonal assistance? Why or why not?

Involvement and connection with a local church

Have you been regularly attending a local church for at least two months?

Yes, I attend Beloved Church

Yes, I attend another church

What church do you attend?

Is there anyone at church that knows your financial situation?

Yes

How are you involved in your church? (select all that apply)

Membership/Beloved Church’s Gospel Partnership

Active in a bible study/ church small group for at least two months

Serve on a ministry team (kids ministry team, set up team, connect team worship team, etc.)

None

Other

Explain other church involvement

How long have you been a member/ Gospel partner?

Home Group/Bible Study Leader’s Name

Church Reference #1 - Name & Length of Relationship

Church Reference #1 - Phone Number

Church Reference #2 - Name & Length of Relationship

Church Reference #2 - Phone Number

Vehicle Needs

How long have you been without a vehicle?

What happened to the last car you owned?

What are your current transportation needs?

How are you currently meeting those transportation needs?

What type of vehicle would you prefer? (Check all that apply)

2-door

4-door

Larger capacity (Van, SUV)

Any other specific needs or information you would like us to know about your vehicle needs?

How many vehicles are currently in your household?

Can you afford to get and maintain insurance?

Yes

I dont know

Estimated to be $600-$2400 per six months. This will vary based on the company you choose, the limits you choose and your personal driving record.

Can you afford to title/tag the vehicle?

Yes

I don't know

This will range from $85 - approximately $400 depending on if you have a tag to transfer or not. Fees are approximate and will vary by county.

Finalize Submission

Financial information Upload

Max. file size: 50 MB.

Two months bank and/or credit card statements, Copies of any investment, IRA, or 401k statements, Past due billing statements, Any other related documents pertaining to your financial request

File

Max. file size: 50 MB.

Financial information Upload

Max. file size: 50 MB.

Two months bank and/or credit card statements, Copies of any investment, IRA, or 401k statements, Past due billing statements, Any other related documents pertaining to your financial request

File

Max. file size: 50 MB.

Financial information Upload

Max. file size: 50 MB.

Two months bank and/or credit card statements, Copies of any investment, IRA, or 401k statements, Past due billing statements, Any other related documents pertaining to your financial request

File

Max. file size: 50 MB.

Consent

I agree to the submission policy.

I hereby authorize the release of information to Beloved Church to potentially receive the assistance I am requesting. I further certify that the information I have stated is true and correct and that all income is reported. I understand Beloved may verify the information on this application and that deliberate misrepresentation of information may subject me to denial of assistance/services.

I give permission for Beloved to discuss my case with other agencies, businesses, churches, attorneys, individuals, and any others deemed necessary to verify application information and/or identify additional sources of assistance. I understand that all information will remain as private as possible within these entities.