Application for Vehicle Waiting List

The MCC Vehicle Donation Program is exclusively for San Francisco Bay Area Muslim residents. MCC facilitates donated vehicles on a need-basis and vehicle donors in the community offer vehicles for donation through MCC.

MCC only facilitates this donation to your family. We do not control the duration of a person’s wait time on the waiting list.

 The car waiting list for eligible applicants is six months to one year.

If you have questions, don’t hesitate to contact MCC’s Zakat Administrator, Sister Aminah Abdullah, at aminah@mcceastbay.org or (925) 264-9297.

Vehicle Waiting Application – MCC East Bay

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1. ABOUT THE APPLICANT

Name
MM slash DD slash YYYY
MM slash DD slash YYYY
Address(Required)
Please write “homeless” if the deceased did not have a permanent address.
Your Email Address(Required)
Are you working now?(Required)
Have you applied for any assistance from MCC before?(Required)
Did you arrive to the U.S. under a federal refugee resettlement program in the past two years?(Required)

2. ABOUT YOUR HOUSEHOLD

Your marital status:(Required)
If married, is your spouse currently employed?(Required)
Does your spouse have a vehicle?

3. ABOUT YOUR HOUSEHOLD INCOME AND EXPENSES

Monthly Gross Income:

Monthly Expenses:

Current Household Assets:

4. VEHICLE IMPACT STATEMENT

Is your intent in asking for a vehicle so that you may use this vehicle for ride-sharing (Uber/Lyft)?(Required)
Have you ever received a car via any other donation program?(Required)
Are there currently any other vehicle(s) in your household?(Required)
Which type of vehicle would have the most impact on your household?(Required)

5. REFERENCES

Please list at least two names of references whom you are familiar with and who can confirm or verify the information you provided in this application. References cannot be immediate relatives or people you live with.

Please check each box on this checklist to confirm your understanding and that you are submitting a true and complete application to the MCC:(Required)

6. STATEMENT: Please read the following statement and sign below.

1. I testify in front of God that the information provided in this application is true and accurate to the best of my knowledge. I understand that if any information given turns out to be untrue, this application will automatically be denied and that MCC may permanently bar me and my spouse from applying for any future assistance as well as sharing my information with other Bay Area masjids that give out Zakat and Sadaqa assistance.

2. I understand that the MCC Car Program will automatically reject any application we receive that is incomplete. I will not hear back from the team and I will not be added to the waiting list, if I submit this form with missing information.

3. I understand that the MCC Car Program is a popular program and we currently have about 75 families on the waiting list. We cannot provide a date for when you may receive a vehicle. The current wait time is six months to one year.

MM slash DD slash YYYY

7. DOCUMENT UPLOAD

Max. file size: 512 MB.

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