CCCS of Rochester

Driven2Success Program Application

The Driven2Success program helps low-to-moderate-income residents of Monroe, Ontario, & Wayne County, NY, to qualify for affordable car loans with local lending partners.

Counselors work with qualified participants to create a budget, review their credit, and compile information for purchasing a vehicle for work purposes.

While the program does not provide grants or direct lending, the program works with local banks and credit unions to help clients have a better chance at qualifying for a lower-cost loan. This is often a tremendous advantage over going directly to a dealership.

If you are interested in applying to the Driven2Success program, please complete the application below. Once submitted, we will review your information and follow up.

First Name *

Last Name *

Email *

Phone Number *

Street Address *

City *

Postal Code *

Which county do you reside in? *

Please provide the approximate total amount of your annual household income (needed for program eligibility)? *

2025 income limits: 1-person household = $58,200, 2-person household = $66,500, 3-person household = $74,800, 4-person household = $83,100, 5-person household = $89,750, 6-person household = $96,400

How many individuals live in your household? *

Estimated amount of unsecured debt (credit cards & collections): *

Please explain your transportation need? *

What is your date of birth? *

Do we have permission to contact you through text message? *

How did you learn about the Driven2Success program? *

What organization referred you? *

What is your current form of transportation? *

Are you currently working? *

What is the name of your current employer? *

Do you currently have a valid driver's license? *

Do you owe any outstanding tickets or fines? *

Have you had a repossession of a vehicle? *

How much is your monthly rent or mortgage payment? *

Have you ever filed for bankruptcy? *

Military Service *

Education: *

Race: *

Do you consider yourself to be Hispanic? *

Preferred Language: *

Marital Status: *

Gender Identity *

Do you have a disability? *

Do you consider yourself to be LGBTQIA+? *

1050 University Avenue, Suite A
Rochester, NY 14607

Phone: (585) 546-3440
Toll Free: (888) 724-2227
Fax: (585) 546-5693