| Application # | 498 |
| Application Submitted | September 24, 2024, 3:00 pm |
| Name | Dawan Belton |
| Address | 832 nw 10th st apt3 hallandale beach fl 33009 |
| DOB | 2005-10-11 |
| Age | 18 |
| Email | berneishabelton@gmail.com |
| Phone | 9543943348 |
| Emergency Contact | brandon kimbrogth |
| Emergency Number | 9549315945 |
| Drivers License | No |
| 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 | i need a second chance at life |
