State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 First Name: Marc
1.3 Last Name: Panosian
1.4 Middle Name: Jona
1.5 Date of Birth: 03/DEC/1996
1.6 Weight: 160 lbs
1.7 Height 5 ft 8 ins
1.8 Primary place of residence: 103 Marathon Avenue, Los Santos
1.9 Contact Number: 589-2067
1.10 Email Address: [email protected]
1.11 Please provide a passport photo (150x150) of you on the right top corner of this form.
Section 2: Educational History
Please list and elaborate on, in the space hereunder, the entirety of your formal education history, including details of qualifications:
- School Name: Los Santos High School
Enrollment Term: 08/SEP/2010 to 28/JUN/2014
Course of Study: High School Diploma
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: Cockney Kings
3.2 Rank held: Senior Chef
3.3 Tenure: 4 years, 5 months (17/MAY/2019 - 03/OCT/2023)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- ParcelPal
Courier
3 years, 6 months (29/SEP/2015 - 13/APR/2019)
- ParcelPal - Business declared bankruptcy.
Cockney Kings - Seeking long term position else where.
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? Yes
5.2 Are you a lawful citizen of the State of San Andreas? 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:
Name (print): Marc PanosianOn submitting this application, I, Marc Panosian, 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 (signed): Marc Panosian
Date: 04/NOV/2023
(( Section 7: OOC Information ))
7.1 Forum name: JuicyShoe
7.2 Geographical location and timezone: GMT -6, Canada
7.4 Discord username: JuicyShoe
7.5 Please list languages in which you may be fluent in, alongside English: Romanian
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? I have been roleplaying on GTA World since about April 2020. My roleplay experience started back in 2016 on early GTA 5 FiveM servers.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Roxanne Mckee -> Stefan Muller -> Marc Panosian
- Stefan Birch -> Stefan Birchovic -> Uberto Giacometti -> Stefan Johnson -> Vakha Labazanov -> Vakha Barayev -> Uberto Giacometti
- Thomas Inglton -> Stefan Dervishi -> Altin Kodra -> Konstantin Kuznetsov -> Matei Gjin -> Damir Borojevic -> Davran Sobirov -> Stefan Muller
- Tyrone DeMarcus
7.9 Please provide an unedited screenshot of your character statistics summary: ACCESS
7.10 Please write your character's background story (Minimum 250 words.): 7.11 Fingerprint sample: * Marc Panosian provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 04/NOV/2023.
7.12 Drug test: * Marc Panosian conducts a drug test at the SFM Rockford Hills Headquarters on 04/NOV/2023. It returns Negative.