| Application # | 312 |
|---|---|
| Application Submitted | July 18, 2023, 10:33 am |
| Name | Terrqnce Washington |
| Address | 300 NW 19TH STREET 300 nw 19th street Pompano Beach Florida 33060 |
| DOB | 2006-01-21 |
| Age | 17 |
| tonyab2222@yahoo.com | |
| Phone | 9548678823 |
| Emergency Contact | Tonya Burton |
| Emergency Number | 9548678823 |
| Drivers License | Yes |
| Tickets/Violations | No |
| Grade Completed | 11th grade |
| How did you hear about YATC? | Other |
| Automotive Experience | Yes |
| Where was your training? | |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
