State Fire Marshal Application
Section 1: Personal Information
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1.1 Title: Mr
1.2 First Name: Fritz
1.3 Last Name: Waldow
1.4 Middle Name: Hansel
1.5 Date of Birth: 14/JUN/2000
1.6 Weight: 162 lbs
1.7 Height 6 ft 0 ins
1.8 Primary place of residence: Perrara Motel, Del Perro
1.9 Contact Number: 8787277
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:
- Park High School – (2014-2017)
Montana State University – Business Management (2017-2022)
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: Los Santos Department of Public Works
3.2 Rank held: Technician
3.3 Tenure: less than a months (22/JAN/2023 – 19/FEB/2023)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- Big Den – Part-time clerk – 28/SEP/2015-8/APR/2017
Feed Café – Cashier – 19/AUG/2017 – 4/MAY/2022
- Los Santos Department of Public Works - Personal
Big Den – Graduated from highschool, and moved to University
Feed Café – Had to move back to hometown
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.
- None
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:
- PF License
Guard Card
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print): Fritz WaldowOn submitting this application, I, Fritz Waldow, 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): Fritz Waldow
Date: 01/DEC/2023
(( Section 7: OOC Information ))
7.1 Forum name: Dracx
7.2 Geographical location and timezone: GMT +7
7.4 Discord username: duckydash
7.5 Please list languages in which you may be fluent in, alongside English: Indonesian
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? Been roleplaying for around 3 years, since 2020. And playing in GTA:W for 1 year.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Jaime Louwes
- Fritz Waldow
- Miguel Carillo
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: *Fritz Waldow provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 1/DEC/2023.
7.12 Drug test: * Fritz Waldow conducts a drug test at the SFM Rockford Hills Headquarters on 1/DEC/2023. It returns Negative
