New Client Placement Form

SparkHope Automotive is a 501(c)(3) nonprofit organization with locations in Aurora and Federal Heights, Colorado. For working single mothers whose vehicles are no longer safe or reliable, we provide eligible women with a replacement vehicle, ensuring that moms in need receive dependable transportation to keep moving forward on the road to self-sufficiency.
Please read the following statements, place a checkmark next to each statement, and then sign and date at the bottom of the document.
Understandings*
I understand that SparkHope Automotive is a faith-based nonprofit organization. That faith inspires everyone associated with Hands to be of service to each and every single mother (Client)who comes seeking help & hope. Reception of services is not dependent on my sharing these faith values.*
I understand that once my application for services has been approved the following steps will occur:*
A vehicle that matches my needs will be offered.
My placement price and time estimate will be provided to me.
I will have 3 days to approve the purchase of the vehicle.
I understand that I will be given information about my car which will enable me to understand its condition, perform minor maintenance tasks, and know when the car needs to be taken in for evaluation, repairs and maintenance I am not able to do myself.
I understand that to drive my vehicle after the time of sale and to receive my temporary tag I must provide proof of insurance for the vehicle.
SparkHope Automotive respects the privacy of all women in our programs. We will not use or publicize information without your consent. All information is intended for the use of communications to donors, promo materials, may be shared externally and displayed on our website or on social media platforms.
I hereby grant permission to SparkHope Automotive to use my name and child(ren’s) name(s):*
- To be named in quotes, and/or a story.
- Permission to take and use photographs.
- Permission to tape and use audio & video-tapes.
- Permission to publicize a story without the use of my name and child(ren’s) name.
- Please do not use my name or child(ren’s) in any of your materials as it will endanger us.
Other Permission Notes:
E-Signature*
Check26*
By typing my name above and submitting this form, I recognize that this constitutes my approved electronic signature.*
Date*
Email*
Phone*

New Client Placement Agreement Form