Application # | 469 |
---|---|
Application Submitted | July 24, 2024, 10:26 am |
Name | Dwight Harris |
Address | 555 Jefferson Dr unit 106 Deerfield beach FL 33442 |
DOB | 2006-10-29 |
Age | 17 |
shatosha19@gmail.com | |
Phone | +1 (954) 707-0652 |
Emergency Contact | Shatosha Poitier |
Emergency Number | 9548711050 |
Drivers License | No |
Tickets/Violations | No |
Grade Completed | 10th grade |
How did you hear about YATC? | Other |
Automotive Experience | No |
Where was your training? | |
Do you have a job? | Yes |
Place of Employment | |
Hourly Wage | |
Extra Comments |