| Application # | 370 |
| Application Submitted | December 11, 2023, 12:38 pm |
| Name | timothy johnson |
| Address | 2338 nw 4th st Pompano Beach FL 33069 |
| DOB | 2006-06-23 |
| Age | 17 |
| Email | octaviafuller34@gmail.com |
| Phone | 954-795-4637 |
| Emergency Contact | octavia fuller |
| Emergency Number | 954-934-4814 |
| 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 | hello i like working with my hands,i don't mind working to hard. |
