State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Ms
1.2 Forename(s): Mia
1.3 Surname(s): Sorton
1.4 Other name(s): N/A
1.5 Date of Birth: 15/05/2002
1.6 Weight: 165 lbs
1.7 Height 5 ft 5 ins
1.8 Primary place of residence: Perrara Motel Room 04
1.9 Contact Number: 69939591
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:
- High school diploma - 4 years - Davis high school, Los Santos SA.
Associate's Degree in Sales Management - 2 years - ULSA, Los Santos SA.
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: ULSA bookstore
3.2 Rank held: Sales Associate
3.3 Tenure: 1 years, 11 months (06/09/2021 - 08/08/2023)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- N/A
- N/A - Left in good standing to move to Los Santos.
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): Mia SortonOn submitting this application, I, Mia Sorton, 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): Mia Sorton
Date: 08/14/2023
(( Section 7: OOC Information ))
7.1 Forum name: Rykeheart
7.2 Geographical location and timezone: US central, GMT-5
7.4 Discord username: johnrykeheart
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? GTA:w - just under 2 months. Total Rping around 12 years off and on across many online and tabletop games.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Mia Sorton
- Alex Sandaval
- Hiram Dixon - Junior technician Department of public works.
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: * Mia Sorton provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 14/08/2023.
7.12 Drug test: * Mia Sorton conducts a drug test at the SFM Rockford Hills Headquarters on 14/08/2023. It returns NEGATIVE.
