| Application # | 372 |
| Application Submitted | December 15, 2023, 5:38 pm |
| Name | Jermeyah Taylor |
| Address | 8400 nw 21st ct sunrise florida 33322 |
| DOB | 2003-10-04 |
| Age | 20 |
| Email | Jeremyaht2@icloud.com |
| Phone | 9542137173 |
| Emergency Contact | Tamara Taylor |
| Emergency Number | 7543675631 |
| Drivers License | No |
| 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 | My Mother told me about Yatc she works for JM family |