State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Ms.
1.2 Forename(s): Melody
1.3 Surname(s): Barnes
1.4 Other name(s): N/A
1.5 Date of Birth: 09/06/1997
1.6 Weight: 132 lbs
1.7 Height 5 ft 6 ins
1.8 Primary place of residence: 48A Sandcastle Way Apt. 3
1.9 Contact Number: 2364324
1.10 Email Address: [email protected]
Section 2: Educational History
Please list and elaborate on, in the space hereunder, the entirety of your formal education history, including details of qualifications:
- In high school I was enrolled in the career pathways program that had a branch dedicated to Health Sciences, including science credits in Biology, Chemistry & Physics. I excelled in these classes with a 3.56 GPA.
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: The Swallow Lounge & Casino
3.2 Rank held: Croupier
3.3 Tenure: 1 Month (2/2/2022 - Present)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- Employer: Atlee Street 24/7
Position: Cashier
Date: 01/23/22 - current
- N/A
Section 4: Medical History
Please list and elaborate on, in the space hereunder, any medical conditions you may have. In addition, please elaborate on any sections of your medical record which may hinder your ability to conduct your duties.
- N/A
Section 5: Licensing, Permits and Legalities
5.1 Are you in possession of a valid Driver's License? Yes
5.2 Are you a lawful citizen of the State of San Andreas? Yes
5.3 Please list hereunder any other licenses or permits you are in possession of:
- Purchase Firearm License
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print): Melody BarnesOn submitting this application, I, Melody Barnes, understand and confirm that all questions herein were responded to with truthfulness and integrity. I give my permission for the recruitment team to investigate, and to clarify, the information given, for the purpose of validation of this application. I acknowledge the fact that any plagiarism, perjury, or alteration of the contents within this document will result in the application being rejected, and a life-long ban from future applications to the Office of the State Fire Marshal.
Name (signed): Melody Barnes
Date: 03/03/2022
(( Section 7: OOC Information ))
7.1 Forum name: Codename
7.2 Geographical location and timezone: Kansas, Wichita GMT -6
7.3 Character ID: 80638
7.4 Discord username: Jayb#6686
7.5 Please list languages in which you may be fluent in, alongside English: English
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? GTA World since DEC 2018, Roleplaying since 2012
7.7 Please provide an unedited screenshot of your entire admin record: ACCESS
7.8 Please provide an unedited screenshot of your character statistics summary: ACCESS
7.9 Please write your character's background story: 7.10 Fingerprint sample: * Melody Barnes provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 03/03/2022.
7.11 Drug test: * Melody Barnes conducts a drug test at the SFM Rockford Hills Headquarters on 03/03/2022. It returns negative.