State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Mr
1.2: Forename(s): Ignacio
1.3: Surname(s): Villalobos
1.4: Other name(s): N/A
1.5: Date of Birth: 05/APR/1996
1.6: Primary place of residence: Harmony, Blaine County
1.7: Contact Number: 9996
1.8: Email Address: [email protected]
Section 2: Employment History
Please list below your employment history since being discharged from the Office of the State Fire Marshal.
LIST HERE: Place of Employment, Role, and Period of Employment
2.1: Please list hereunder reasons for dismissal within previous employment: N/A
Section 3: Medical History
Please list and elaborate on, in the space hereunder, any updates to your medical history since your previous discharge from the Office of the State Fire Marshal.
N/A
Section 4: Re-employment
4.1: Why do you want to reinstate to the Office of the State Fire Marshal?
(( I'd like to return as I am now in a more stable spot to do so, this has been discussed with command ))
4.2: What have you been doing since your discharge from the Office, and how has this had an impact on you and your decision to request reinstatement?
(( New character, I have been roleplaying within the LSSD during the time away from SFM ))
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
OOC personal issues.
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Ignacio Villalobos, 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 (print): Ignacio Villalobos
Name (signed): I. Villalobos
Date: 28/MAY/2021
(( Section 6: OOC Information ))
7.1: Forum name: Fireworks
7.2: Discord username (Optional): MATT#9207
7.3: Please provide an unedited screenshot of your entire admin record: https://i.imgur.com/JaPvEZy.png
7.4: Please provide an unedited screenshot of your character statistics summary: https://i.imgur.com/Uq5Nkvq.jpg
7.5: Drug test: * Ignacio Villalobos conducts a drug test at the Vespucci HQ on 28/MAY/2021. It returns negative