| Application # | 366 |
| Application Submitted | December 7, 2023, 7:57 pm |
| Name | wibenchi jeanbaptiste |
| Address | 65 Se 12th st boca raton FL 33432 |
| DOB | 2004-01-06 |
| Age | 19 |
| Email | wibenchijeanbaptiste@gmail.com |
| Phone | 9546750921 |
| Emergency Contact | |
| Emergency Number | 56184988488 |
| Drivers License | Yes |
| Tickets/Violations | No |
| Grade Completed | 12th grade |
| How did you hear about YATC? | Other |
| Automotive Experience | No |
| Where was your training? | |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments | I am currently in need of a job and working to get my degree. My mother Wilmane Jeanbaptiste spoke to Ms. Miller Pelt and she took my name and my brother's name wilben jeanbaptiste |
