| Application # | 341 |
|---|---|
| Application Submitted | September 26, 2023, 12:29 pm |
| Name | Zachary Duffek |
| Address | 125 NW Second St Deerfield Beach FL 33441 |
| DOB | 2002-04-26 |
| Age | 21 |
| zduffek@outlook.com | |
| Phone | 7543684130 |
| Emergency Contact | Sulfide pubien |
| Emergency Number | 7543684130 |
| Drivers License | Yes |
| Tickets/Violations | Yes |
| Grade Completed | 12th 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 |
