| Application # | 421 |
|---|---|
| Application Submitted | May 1, 2024, 12:31 pm |
| Name | levi lipszyc |
| Address | 3321 NE 37th Street 3321 NE 37th Street Ft. Lauderdale FL 33308 |
| DOB | |
| Age | 20 |
| penina180@gmail.com | |
| Phone | 9548688243 |
| Emergency Contact | moishe lipszyc |
| Emergency Number | 9544943923 |
| Drivers License | No |
| Tickets/Violations | No |
| Grade Completed | 12th grade |
| How did you hear about YATC? | Other |
| Automotive Experience | Yes |
| Where was your training? | tony auto shop |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
