| Application # | 338 |
|---|---|
| Application Submitted | September 11, 2023, 2:06 pm |
| Name | Jermaine Jean-Simon |
| Address | 5230 NW 12TH ST Lauderhill Florida 33313 |
| DOB | 2005-04-18 |
| Age | 18 |
| jermainejeansimon1@gmail.com | |
| Phone | 9549881273 |
| Emergency Contact | 9547939497 |
| Emergency Number | 9546183404 |
| Drivers License | Yes |
| Tickets/Violations | No |
| Grade Completed | 11th grade |
| How did you hear about YATC? | Previous student |
| Automotive Experience | Yes |
| Where was your training? | |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
