Name *

First Name

Last Name

Do You Have A License? *

Yes

No

Are You A Baltimore Resident *

Yes

No

Do You Live In Baltimore City or Baltimore County *

Baltimore City

Baltimore County

Are You Currently Working? *

Yes

No

Do you own a vehicle (Operation or Non Operational)? *

Yes

No

Are you in good standing with the MVA? *

Yes

No

Are you comfortable changing a tire and performing routine maintenance? We offer training for the winner if not. *

Yes

No

Are you comfortable driving an SUV or Minivan? *

Yes

No