State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 Forename(s): Scott
1.3 Surname(s): O'Brien
1.4 Other name(s): n/a
1.5 Date of Birth: 08/APR/1988
1.6 Weight: 197 lbs
1.7 Height 5 ft 9 ins
1.8 Primary place of residence: Pink Cage Motel room 11
1.9 Contact Number:4184057
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:
- 2002-2006 Los Santos High School
2016 February EMT-Basic training (LSFD)
Exam: EMT-Basic (EMT-B)
Tenure: 1 month
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: Self Employed
3.2 Rank held: Safety Consultant
3.3 Tenure: 2 years, 3 months (01/APR/2021 - Current)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
3.4.1 Agency affiliation: Los Santos Fire Department
3.4.2 Rank held: EMT
3.4.3 Tenure: 5 years, (1/FEB/2016 - 31/MAR/2021)
3.5 Please list hereunder reasons for dismissal within previous employment:
- Resignation
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:
- None
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print): Scott O'BrienOn submitting this application, I, Scott O'Brien, 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):
Date: 14/JUL/2023
(( Section 7: OOC Information ))
7.1 Forum name: Shane Lancaster
7.2 Geographical location and timezone: Sweden GMT+2
7.4 Discord username: am idoit
7.5 Please list languages in which you may be fluent in, alongside English: Swedish
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? Joined GTA:W 2020, periodically returned to the server during this period. Used to be a frequent roleplayer on SA-MP. Probably been RPIng for around 8 years give or take.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Shane Lancaster
- Tomislav Beluvokovic
- Scott O'Brien
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: * Scott O'Brien provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 14/Jul/2023.
7.12 Drug test: * Scott O'Brien conducts a drug test at the SFM Rockford Hills Headquarters on 14/Jul/2023. It returns negative.
