State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Miss
1.2 Forename(s): Gabriela
1.3 Surname(s): Barillas
1.4 Other name(s): N/A
1.5 Date of Birth: 02/JUL/2000
1.6 Weight: 148 lbs
1.7 Height 5 ft 6 ins
1.8 Primary place of residence: 2005 San Andreas Boulevard - Floor 7, Room 2
1.9 Contact Number: 62179459
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:
- Westlake High School (Austin, TX) - 2013-2017
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: Gruppe Sechs Security Co.
3.2 Rank held: Armed Security Officer
3.3 Tenure: 1 years, 2 months (15/APRIL/2022 - 03/JUN/2023)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- ZAZEN Arts - Mechanic - 04/JUN/2023 - CURRENT
- Personal 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.
- 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:
- Guard Card Permit
Concealed Carry Permit
PF License
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print):GABRIELA BARILLASOn submitting this application, I, Gabriela Barillas, 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):Barillas, G.
Date: 13/JUL/2023
(( Section 7: OOC Information ))
7.1 Forum name: a1037
7.2 Geographical location and timezone: South-east United States / EST
7.4 Discord username: a37_
7.5 Please list languages in which you may be fluent in, alongside English: N/A
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? I've been roleplaying in GTA:W since May of 2023. I have previously played on FiveM for a total of three years throughout multiple realms of roleplay styles - from economical oriented servers, to menu based ones.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Gabriela Barillas (No Faction)
- Naomi Galinsky -> Naomi Mizuko -> Addison Porter (No Faction)
- Stephanie Juarez (No Faction)
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: * Gabriela Barillas provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 13/JUL/2023.
7.12 Drug test: * Gabriela Barillas conducts a drug test at the SFM Rockford Hills Headquarters on 13/JUL/2023. It returns negative.
