| Application # | 333 |
|---|---|
| Application Submitted | August 30, 2023, 9:44 am |
| Name | Greg Headley |
| Address | 1720nw 7th Pl Fort Lauderdale Florida 33311 |
| DOB | 2004-03-30 |
| Age | 19 |
| gregheadley1@gmail.com | |
| Phone | 9548618777 |
| Emergency Contact | Greg Headley |
| Emergency Number | 9548161817 |
| 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? | Uti |
| Do you have a job? | Yes |
| Place of Employment | Northridge Shopping Center 871 E Commercial Blvd Oakland Park, FL 33334 United States |
| Hourly Wage | 13 |
| Extra Comments |
