This page is for agencies and employers who would like to refer someone in need of assistance to Wheels of Success. Please read the eligibility guidelines to see if your referral qualifies. Then submit the appropriate application below for online processing.

Note: Applicant must be working or have a verifiable job offer.

Client Referral Application by Agency
Client Referral Application by Employer

NOTE: Due to limited funding and the increasing number of applications we are receiving, we will be closing our application process every other month to allow us to effectively work on those previous applications that have been submitted as well as to raise funds to enable us to repair our donated vehicles. The following schedule will tell you which months we will be accepting applications. Please do not call us to make exceptions. The only exceptions we will consider are for those agencies/employers who are partners with our program and help financially with the repair costs of our vehicles.

Accepting applications:
January, March, May, July, September, November

Eligibility Guidelines

EMPLOYMENT:
Applicants must be working full time (at least 32 hours a week) or have a verifiable job offer to be considered and must be above poverty level (see poverty guideline standards).

INCOME:
Up to 250% above poverty level and not receiving government assistance other than:

• Unemployment Compensation
• Medicaid
• Food Stamps

STATUS:
Must be employed or unable to return to work due to transportation issues. Proof of employment required via one of the following forms:

• Employer verification
• Pay stubs (2) verifying employment
• W2 form from the previous year
• Written offer of employment on company letterhead

CATEGORIES:

• Families with Child(ren)—Single Parent (Mother or Father) or an underemployed Couple with Child(ren)
• Underemployed Working Poor who have no dependent children
• Moderate Income Families who have no liquid resources and have suffered a catastrophic incident such as:
  • abusive relationship
  • accident
  • death of spouse
  • divorce
  • fire
  • hurricane
  • illness
  • loss of income

STIPULATIONS:

• Must sign contract giving their verbal commitment to remain employed/or notification of termination (with reason).
• Must agree to pay it forward a monthly set amount, based on income and 3 service hours per month
• Must provide valid Florida driver's license
• Must provide proof of insurance (if applicable)
• Agree to provide public testimonial (optional)
• Must complete exit survey about the impact of participation in the program
• Must attend car care class prior to receipt of vehicle

REFERRALS:
Must be referred by one of the following sources:

• Social Service Agencies
• Churches
• Employers
• Board Members

Applicants to be approved by Program Committee.