Application # | 317 |
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Application Submitted | July 29, 2023, 2:23 pm |
Name | Alexis Palacios |
Address | 207 Dale Pl Lindenwold NJ 08021 |
DOB | 2006-12-29 |
Age | 16 |
al923772@gmail.com | |
Phone | 8567390077 |
Emergency Contact | 8567390077 |
Emergency Number | |
Drivers License | No |
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 | Trying to make my future |