A Community Partnership Program for individuals and families with less than perfect credit

This program is made possible through funding by Ways to Work, Inc., United Way of Allegheny County, United Way of Westmoreland County and local foundations.

Click the logo above to learn more about Ways to Work National Efforts
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To qualify for a loan, you must meet the following eligibility requirements:
  • Valid Pennsylvania Driver's license.
  • Employed for three (3) months or more at least twenty hours per week.
  • Must live in Allegheny or Westmoreland counties.
  • Proof of ability to afford monthly payment.



Referral Source:

Purchase or Repair? Purchase    Repair

Name:     County:

Address:     City:     State:     Zip:

Home Phone:     Work Phone:     Other:



Minor Children? Y    N     Ages:     Total No. Household:

Are you receiving any Food Stamps? Y    N     TANF Y    N     TANF 12 MONTHS Y    N

Working Currently? Y    N     Hrs/wk:

Employer:     How long at current job?:

How are you currently getting to work/school?
Own car (List Year, Make, Model, Mileage and Problems)
Rides from friends/co workers/neighbors/family
Borrowing someone's car (spouse/neighbor)
Transportation Program
Public Transporation (Bus/Taxi)

Do you currently have a car payment? Y    N

Do you have a valid PA drivers license? Y    N

How does your credit look right now?

Have you ever had a car repossessed, a foreclosure on property, or filed bankruptcy? Y    N

Gross Monthly Income: $     Other Income: $

Are you financially able to make a small monthly car payment? Y    N
If Y, how much: $

Enrolled in an educational program? Y    N
In what field of study?
When will you complete it?     How many credits are you carrying?
Have you participated in a Ways to Work program before? Y    N

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