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

This program is made possible through funding by United Way of Southwestern PA and local foundations.

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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.
  • Cannot have a current car loan or a co-signer on a current car loan
  • Must live in Allegheny county.
  • 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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