| Application # | 462 |
|---|---|
| Application Submitted | July 8, 2024, 1:15 pm |
| Name | hezekiah potts |
| Address | 9160 sunset strip sunrise fl 33322 |
| DOB | 2005-11-07 |
| Age | 18 |
| ANGELAPOTTS1977@YAHOO.COM | |
| Phone | 9549014308 |
| Emergency Contact | ANGELA HARRI |
| Emergency Number | 9547972566 |
| Drivers License | Yes |
| Tickets/Violations | No |
| Grade Completed | 10th grade |
| How did you hear about YATC? | Previous student |
| Automotive Experience | No |
| Where was your training? | |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
