search

Recycle Rides 4 Schools Application

Metropolitan Community College Recycled Rides 4 Schools Application Form
For
2013 Mitsubishi Lancer Automobile

Deadline for Application: Friday, September 13, 2019 at noon.

Recycled Rides 4 Schools is a community service project of the National Auto Body Council. The available car has been repaired by MCC Auto Collision Technology students under the supervision and guidance of MCC instructors. The 2013 Mitsubishi Lancer was donated to the Recycled Rides 4 Schools Program by the State Farm Insurance Company. The Lancer has approximately 47,000 miles on it.

Eligible MCC Student Applicants must:

  • be enrolled for Fall 2019 and/or Winter 2019-20 meeting MCC criteria in any program area
  • have successfully completed six or more credit hours at MCC
  • be financially challenged
  • have a minimum GPA of 2.5
  • be over 19 years of age
  • have a valid driver's license
  • have proof of income/employment
  • have a safe driving record and provide the signed release of information (attached) with the application
  • participate in the Recycle Rides "Ride Away" event where the keys will be presented in front of an audience

In addition, applicants must be:

  • able to provide and maintain insurance for the vehicle
  • able to purchase and show proof of insurance before receiving keys
  • repsponsible for licensing and registering the vehicle (approximately $230.00) before receiving keys
  • able to prove income sufficient enough to support routine vehicle expenses (gas, insurance, maintenance, taxes, registration, etc.)
  • able and willing to sign the "release of liability" form. Please fill this out and attach to area on application below. If you are having issues filling out the form, try clicking the "Read Only" button on the bottom of the form. Read Only Button
(i.e. xxx-xxx-xxxx)
(i.e. xxx-xxx-xxxx)
Do you currently own a vehicle?:

(i.e. YYYY,
Honda,
Accord)
Are you currently covered by auto insurance on your own or someone els'e policy?:

(Name of Company,
Agent name,
Policy Number)
This event may be covered by the media (TV, newspapers, etc.). Are you willing to be photographed/videoed or interviewed?:

(A response of no
will not negatively
impact your
application)
(Release form link is located above this application form in last bulleted area.)
Enter security code:
 Security code
2013 Mitsubishi Lancer2013 Mitsubishi Lancer