Car Repair Team Request for Assistance

Auto repair assistance is available to single moms who can not afford to pay for service/labor or who do not have relatives who can perform the needed service.

Repair Team Guidelines:

  1. Repair Teams will supply labor.  
  2. Recipient will supply needed material.  Upon special advance approval, additional material assistance may be available.
  3. All request for assistance must be submitted to Next Level Church vis the form below.
  4. Any assistance will be determined based on guidelines, ability of the Repair Team to perform labor and priority of requests submitted.

To apply for assistance, please fill out the form below and someone will contact you to discuss your request.

Auto Repair Submission Form

Name *
Name
Phone *
Phone
Address *
Address
Is the vehicle registered in your name? *
(you will be required to submit a picture of your title/registration)
Please check if this is *
I have read and understand the Recipient Liability Waiver Form *