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SAN ANDREAS STATE FIRE MARSHALS
LATERAL TRANSFER APPLICATION FORM
LATERAL TRANSFER APPLICATION FORM
1. Personal Information
- 1.1 First name: Deon
1.2 Middle name: Peter
1.3 Last name: Lloyd
1.4 Date of Birth: 30/08/1984
1.5 Height and Weight: 6'1, 9887KG
1.6 Gender:- [/] Male
[-] Female
[-] Other
- [-] Caucasian
[-] Hispanic
[/] Black/African American
[-] Asian/Pacific Islander
[-] American Indian
[-] Filipino
[-] Middle Eastern
[-] Other
1.8.2 City: Los Santos
1.8.3 State: San Andreas
1.9 Place of Birth: Los Santos, SA
1.10 Citizenship:- [/] United States Citizen
[-] Permanent Resident pending United States Citizenship/Is eligible for United States Citizenship.
[-] Other
- [-] Yes
[/] No
- N/A
- [/] Male
2. Employment Information
- 2.1.1 Have you ever worked for any Government Agency? If yes, please list below.
Answer: LSSD.
2.1.2 Do you have any prior experience in arson investigation?
Answer: Only through basic investigations as a Deputy Sheriff.
- 2.2 Past or Current Employment:
2.2.1 Name of Company: LSSD
2.2.2 Period of Employment: 01/JAN/2006 - 01/DEC/2021
2.2.3 Position Held: Deputy Sheriff (Bonus II)
2.2.4 Reason for Departure: Resignation
2.3 Please provide reasoning on why you would like to transfer in to the State Fire Marshals:
- Seeking new employment in a different area of Law Enforcement.
3. Sworn Statement & Drug Test
3.2.1 Drug test: *DEON LLOYD arrives at San Andreas State Fire Marshals Headquarters located in Los Santos, Rockford Hills, on DD/MMM/YYYY to conduct a drug test.*By submitting this application, I, Deon Lloyd, agree that all questions in which I have answered, are true and accurate. I acknowledge that at any time the department holds full rights to discharge me if I at any time fail to comply with departmental policies and procedures set in place. I understand that any information that is provided within this application to be found plagiarized or untruthful, the department's command team have full right to deny acceptance to the department and blacklist me from applying to the department at any point in the future.
3.1.1 Signature: DLloyd
3.1.2 Print name: Deon Lloyd
3.1.3 Date: 22/DEC/2021- 5.3.2 Results from drug test: Negative. Positive for DRUG HERE.
4. Out of Character Information
- 4.1 Forum Name: Access
4.2 Timezone: GMT
4.3 Discord: Jordan.#6721
4.4 Provide all current and past character names:- Current: Richard Gallagher
Jayden Crawford -> Dominic Ruiz
Dominic Ruiz -> Teion Banks
Teion Banks -> Deon Lloyd
Deon Lloyd -> Richard Gallagher
Past: Chase Bryant
Leonard Tsai -> Chase Bryant
Past: Isaac Larson
Dominick Walsh -> Gareth Lynagh
Gareth Lynagh -> Yakir Itzhak
Yakir Itzhak -> Anthony Campbell
Anthony Campbell -> Isaac Larson
Past: Thomas Watson
None
((Add more rows as needed.))
[/] Yes
[-] No
4.5.2 If yes, please post a link to your approved double faction permissions:
ACCESS
4.6.1 Are you currently banned from any legal factions?
[-] Yes
[/] No
4.6.2 If yes, please list which factions:
N/A
4.7 Provide an unedited screenshot of your administrative record:
ACCESS
4.8 Provide an unedited screenshot of your in-game character statistics, for the character which you are applying with:
4.9 Please provide your character's background story:- HERE
- Current: Richard Gallagher