State Fire Marshal Application
Section 1: Personal Information
1.1: Title (Delete as appropriate): Ms
1.2: Forename(s): Elaina
1.3: Surname(s): Evelyn
1.4: Other name(s): N/A
1.5: Date of Birth: 16/FEB/1996
1.6: Weight: 115 lbs
1.7: Height 5 ft 6 ins
1.8: Primary place of residence: 1 Tug Street - Floor 3, Room 6
1.9: Contact Number: 31968943
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:
Graduated from the Los Santos;
Associate's degree in emergency medical services from the Los Santos College;
Integrated Basic Life Support, Paramedic, Fire & Rescue, EVOC A, EVOC B, EVOC C from Los Santos Fire Department Training and Recruitment;
Urban Search and Rescue, USAR Dive Team from Los Santos Fire Department Urban Search and Rescue Division;
Lifeguard, RWC Operator, Rescue Diver from Los Santos County Lifeguards.
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): LSFD
3.2: Rank held: Firefighter III (Lifeguard & Volunteer Firefighter before resigning)
3.3: Tenure: 5 years, 9 months (01/SEP/2015 - 05/JUN/2021) ((13/JUL/2019 - 05/JUN/2021))
3.4: Please list any further affiliations or employment hereunder, including position and tenure:
Owner of BRAH, a small store of mine
3.5: Please list hereunder reasons for dismissal within previous employment:
Resignation from LSFD
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:
PF;
CCW;
NREMT-P
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Elaina Evelyn, 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): Elaina Evelyn
Name (signed): Elaina Evelyn
Date: 05/JUN/2021
(( Section 7: OOC Information ))
7.1: Forum name: danielleunglol
7.2: Age: 19
7.3: Geographical location and timezone (Regardless of DST observance): Hong Kong, UTC+8
7.4: Character ID: 31959
7.5: Discord username (Optional): danielleunglol
7.6: Please list languages in which you may be fluent in, alongside English: Chinese
7.7: How long have you been roleplaying on GTA:W, and roleplaying in total? Around 2 years on GTAW. More than 5 years in general.
7.8: Please provide an unedited screenshot of your entire admin record: 7.9: Please provide an unedited screenshot of your character statistics summary: 7.10: Fingerprint sample: * Elaina Evelyn provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Vespucci HQ on 05/JUN/2021.
7.11: Drug test: * Elaina Evelyn conducts a drug test at the Vespucci HQ on 05/JUN/2021. It returns NEGATIVE.
