| Application # | 330 |
|---|---|
| Application Submitted | August 28, 2023, 10:57 am |
| Name | triniti palmer |
| Address | 5225 ne 5th ave fort lauderdale fl 33334 |
| DOB | 2003-10-03 |
| Age | 19 |
| trinitipalmer@gmail.com | |
| Phone | t |
| Emergency Contact | |
| Emergency Number | |
| Drivers License | Yes |
| Tickets/Violations | No |
| Grade Completed | 12th grade |
| How did you hear about YATC? | Previous student |
| Automotive Experience | Yes |
| Where was your training? | |
| Do you have a job? | Yes |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
