| Application # | 350 |
| Application Submitted | October 17, 2023, 9:41 pm |
| Name | john pereira |
| Address | 3430 deer creek alba way deerfield beach FL 33442 |
| DOB | 2003-11-03 |
| Age | 19 |
| Email | pereira.john3oo@gmail.com |
| Phone | 9546436730 |
| Emergency Contact | 9542044974 |
| Emergency Number | 5615631234 |
| 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? | georgia, when my uncle. |
| Do you have a job? | Yes |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments | |
