Application # | 412 |
---|---|
Application Submitted | April 6, 2024, 12:10 pm |
Name | Jesus Gomez |
Address | 3915 Timberwood drive Lakeland Fl 33811 |
DOB | 2007-03-25 |
Age | 17 |
yesicagomez356@gmail.com | |
Phone | 3522037513 |
Emergency Contact | Virgilia antunez |
Emergency Number | 8137049145 |
Drivers License | Yes |
Tickets/Violations | No |
Grade Completed | 10th grade |
How did you hear about YATC? | Other |
Automotive Experience | No |
Where was your training? | |
Do you have a job? | No |
Place of Employment | |
Hourly Wage | |
Extra Comments |