| Application # | 317 |
|---|---|
| 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 |
