State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 Forename(s): Axel
1.3 Surname(s): Messier
1.4 Other name(s):
1.5 Date of Birth: 30/03/1998
1.6 Weight: 182 lbs
1.7 Height 6 ft 2 ins
1.8 Primary place of residence: Bilingsgate Motel Room 15, Los Santos, San Andreas
1.9 Contact Number: 63866268
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:
- Elementary School: Strawberry Elementary School (2004-2010)
Graduated with honors in 2010, active participant in science fair competitions.
Middle School: Vespucci Middle School (2010-2013)
Received the "Outstanding Leadership" award in 2013, participated in the school's math club.
High School: Elgin High School (2013-2017)
Graduated with a GPA of 4.0 in 2017, member of the National Honor Society, captain of the debate team.
College: Vinewood University (2017-2021)
Bachelor's degree in Fire Science in 2021, conducted research on fire behavior and prevention, completed internships with local fire departments, recipient of the Fire Science Excellence Scholarship.
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: None
3.2 Rank held: None
3.3 Tenure: N/A
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- None.
- Resign from Patel Quality Taxi (Employee)
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: N/A
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print):Axel MessierOn submitting this application, I, Axel Messier, 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):Axel Messier
Date: 03/06/2023
(( Section 7: OOC Information ))
7.1 Forum name: JCordoba
7.2 Geographical location and timezone: Jakarta (GMT+7)
7.4 Discord username: Gled#5257
7.5 Please list languages in which you may be fluent in, alongside English: Indonesia, English
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? 1 year.
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: * Axel Messier provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 03/06/2023.
7.11 Drug test: * Axel Messier conducts a drug test at the SFM Rockford Hills Headquarters on 03/06/2023. It returns result.