| Application # | 305 |
|---|---|
| Application Submitted | June 30, 2023, 7:27 pm |
| Name | Cristian Lugo Hernandez |
| Address | 1700 E Date St apt 1029 1029 San Bernardino CA 92404 |
| DOB | 2006-03-18 |
| Age | 17 |
| zlugo101287@gmail.com | |
| Phone | 909-242-9584 |
| Emergency Contact | Zulma Dominguez |
| Emergency Number | 909-242-9585 |
| Drivers License | No |
| Tickets/Violations | No |
| Grade Completed | 11th 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 |
