| Application # | 368 |
| Application Submitted | December 7, 2023, 8:00 pm |
| Name | wilben jeanbaptiste |
| Address | 65 Se 12th st boca raton FL 33432 |
| DOB | 2006-11-12 |
| Age | 17 |
| Email | wibenchijeanbaptiste@gmail.com |
| Phone | 5618498488 |
| Emergency Contact | |
| Emergency Number | 9546750921 |
| Drivers License | No |
| Tickets/Violations | No |
| Grade Completed | 10th 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 | My mother spoke to Ms.Miller pelt today 12/07/2023 and she wrote my name down. I am currently looking for my highschool diploma and a job. |
