- New Opportunity School for Women

Car Donation Application

NOSW has received a donation of a 2012 Toyota Yaris. We will accept applications from graduates of our residential program and select a graduate to receive this car based on need and other considerations. Please fill out the application below. When your application is complete, we will request additional information.

Today's date

Graduation class and year

Full name

Date of birth

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary phone number

Additional phone number

Do you currently have a valid driver's license?

Do you currently have a reliable car or transportation?

If yes, what is the make, model and year? What is the current mileage?

Please explain below your current transportation situation and how receiving a car donation would help or improve your daily transportation needs. Also, please indicate if you will be able to cover the added expense of owning a car, including but not limited to the title transfer, insurance, and maintenance costs. (The estimated cost of receiving a car award could be as high as $100-$200 for title transfer and taxes.) Additionally, if you currently own a car that is registered in your name, you will be responsible for paying any fees on this vehicle before assuming ownership of the NOSW car.

Car Donation Application

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