State Fire Marshal Application
Section 1: Personal Information
1.1: Title (Delete as appropriate): Ms.
1.2: Forename(s): Cora
1.3: Surname(s): Bodkin
1.4: Other name(s): N/A
1.5: Date of Birth: 09/NOV/1991
1.6: Weight: 121 lbs
1.7: Height 5 ft 2 ins
1.8: Primary place of residence: 2350 Bridge Street, Mirror Park, LS
1.9: Contact Number: 13331
1.10: Email Address: [email protected]
Section 2: Educational History
Community College of San Fierro-Associate of Applied Science (AAS) degree in Criminal Justice, graduated JAN/2021
-Attended and passed BLS course during education.
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service. (( Tenure and agency affiliation must be OOC ))
3.1: Most recent agency affiliation (Delete as appropriate): San Fierro Metro Police Department
3.2: Rank held: Police Officer III, K9 Handler
3.3: Tenure: ((16 months in LSPD as Britney Hayes))
3.4: Please list any further affiliations or employment hereunder, including position and tenure:
Binco Clothing-Shift Manager JUN/2012-DEC/2018
San Fierro Parks and Rec-Day Camp Councilor MAR/2010-JUN/2012
3.5: Please list hereunder reasons for dismissal within previous employment:
Resigned from SFPD to move to the Los Santos Area.
Resigned from Binco Clothing to find work in my field of study.
Resigned for SF Parks and Rec to find higher paying work.
Section 4: Medical History
Nearsighted-Wears corrective lenses.
Section 5: Licensing, Permits and Legalities
5.1: Are you in possession of a valid Driver's License? (Delete as appropriate) Yes
5.2: Are you a lawful citizen of the State of San Andreas? (Delete as appropriate) 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:
On submitting this application, I, Cora Bodkin, 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):Cora Bodkin
Name (signed):
Date: 23/MAY/2021
(( Section 7: OOC Information ))
7.1: Forum name: cryybabyycryy
7.2: Age: Over 21, please PM if needed.
7.3: Geographical location and timezone (Regardless of DST observance):West Coast, America, NA PST (-7 server time)
7.4: Character ID: 24511
7.5: Discord username (Optional):cry#8008
7.6: Please list languages in which you may be fluent in, alongside English:
N/A
7.7: How long have you been roleplaying on GTA:W, and roleplaying in total? 2 Years
7.8: Please provide an unedited screenshot of your entire admin record: https://i.imgur.com/yFvZ91m.png
7.9: Please provide an unedited screenshot of your character statistics summary:https://i.imgur.com/bNzydVd.jpeg
7.10: Fingerprint sample: * Cora Bodkin provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Vespucci HQ on 23/MAY/2021.
7.11: Drug test: * Cora Bodkin conducts a drug test at the Vespucci HQ on 23/MAY/2021. It returns a negative result.
