| Application # | 433 |
|---|---|
| Application Submitted | May 28, 2024, 10:19 pm |
| Name | Jeremiah Alexis |
| Address | 9150 nw 38th dr apt 106 Coral Springs FL 33067 |
| DOB | 2005-02-16 |
| Age | 19 |
| jerryalexis913@gmail.com | |
| Phone | 3059881226 |
| Emergency Contact | Marie Augustin |
| Emergency Number | 7543667219 |
| Drivers License | Yes |
| Tickets/Violations | Yes |
| Grade Completed | 12th grade |
| How did you hear about YATC? | Other |
| Automotive Experience | No |
| Where was your training? | |
| Do you have a job? | Yes |
| Place of Employment | Tj Maxx |
| Hourly Wage | $12.50 |
| Extra Comments |
