State Fire Marshal Application
Section 1: Personal Information
1.1: Title (Delete as appropriate): Mr
1.2: Forename(s): Nathan
1.3: Surname(s): Espinoza
1.4: Other name(s): -
1.5: Date of Birth: 13/JUL/1993
1.6: Weight: 180 lbs
1.7: Height 6 ft 1 ins
1.8: Primary place of residence: 1290 Alta Street
1.9: Contact Number: 7146372
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:
High School Diploma - Winter Park High School
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): Orlando Police Department (( LSPD ))
3.2: Rank held: Police Officer II (( Police Officer III+1 ))
3.3: Tenure: (( 0 years, 8 months (10/SEP/2020 - Ongoing) ))
3.4: Please list any further affiliations or employment hereunder, including position and tenure:
N/A
3.5: Please list hereunder reasons for dismissal within previous employment:
Resigned for transfer.
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? (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:
None.
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Nathan Espinoza, 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): Nathan Espinoza
Name (signed): N.ESPINOZA
Date: 14/MAY/2021
(( Section 7: OOC Information ))
7.1: Forum name: joshua
7.2: Age: 18
7.3: Geographical location and timezone (Regardless of DST observance): England, BST
7.4: Character ID: 61594
7.5: Discord username (Optional): -
7.6: Please list languages in which you may be fluent in, alongside English: Spanish
7.7: How long have you been roleplaying on GTA:W, and roleplaying in total? For nearly 2 years on GTA:W, overall around 7 years.
7.8: Please provide an unedited screenshot of your entire admin record: https://i.imgur.com/cH2o1Ko.png
7.9: Please provide an unedited screenshot of your character statistics summary: https://i.imgur.com/8b8tZfI.png
7.10: Fingerprint sample: * Nathan Espinoza provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Vespucci HQ on 14/MAY/2021.
7.11: Drug test: * Nathan Espinoza conducts a drug test at the Vespucci HQ on 14/MAY/2021. It returns negative.
