| Application # | 378 |
|---|---|
| Application Submitted | January 9, 2024, 12:59 pm |
| Name | Jeremyah Taylor |
| Address | 1980 mw 46th ave Lauderhill fl 33313 |
| DOB | |
| Age | 20 |
| TamaraTaylor23@gmail.com | |
| Phone | 9542137173 |
| Emergency Contact | Tamara Taylor |
| Emergency Number | 7543675631 |
| 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 | My mother work for jm |
