State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Miss
1.2: Forename(s): Luna
1.3: Surname(s): Rodriguez
1.4: Other name(s): N/A
1.5: Date of Birth: 17/JAN/1997
1.6: Primary place of residence: 204 Occupation Avenue
1.7: Contact Number: 9240
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.
Miami Police Department - Police Officer II - 13/OCT/2019 - 02/OCT/2021
2.1: Please list hereunder reasons for dismissal within previous employment:
Miami Police Department - Personal Resignation
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?
(( The faction has come a long way since I've last been part of it. I've recently been trying to find more variety on GTAW. One of my friends is interested in joining Fire Marshals, I'd like to join together with him in order to have something else to do on GTAW, keeping me motivated to continue playing on the server. ))
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?
(( I've initially been continuing to roleplay on my Fire Department character, I've resigned from FD around 3-4 months ago and decided to join the Police Department, I've been roleplaying in PD ever since. ))
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
(( The faction was still in development when I was part of it, It had issues with other LEO departments shitting on our roleplay and eventually most of my friends decided to leave the Fire Marshals, I eventually become more inactive and inactive in the faction, summer vacation was also over which meant I had to balance more time between FD and Fire Marshals so I decided to leave and free up my spot as head of inspections to someone else. ))
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Luna Rodriguez, 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): L. Rodriguez
Name (signed): Luna Rodriguez
Date: 03/OCT/2021
(( Section 6: OOC Information ))
7.1: Forum name: Mike
7.2: Discord username (Optional): Centauri#5413
7.3: Please provide an unedited screenshot of your entire admin record: ACCESS
7.4: Please provide an unedited screenshot of your character statistics summary: ACCESS
7.5: Drug test: * Luna Rodriguez conducts a drug test at the Vespucci HQ on 03/OCT/2021. It returns Negative.