State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 Forename(s): Michael
1.3 Surname(s): Anderson
1.4 Other name(s): N/A
1.5 Date of Birth: 13/SEP/1991
1.6 Weight: 173 lbs
1.7 Height 5 ft 10 ins
1.8 Primary place of residence: The Emissary Apartment Complex Floor 9 Room 9, Pillbox Hill, Los Santos, San Andreas
1.9 Contact Number: 90221581
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 - St. Francis High School, WI ( 2006 -> 2010) 4 Yrs
B.A. of English Language - University of Wisconsin-Madison, WI (2010 Sep -> 2013 Sep) 3 Yrs
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: San Andreas Department of Forestry and Fire Protection
3.2 Rank held: Junior Public Information Officer
3.3 Tenure: Current
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- Thomson Financial, Marketing Operations Specialist (2013 -> 2016)
Kelly Productions, Factory Worker (2016 -> 2020)
Los Santos Trucking Co., Logistics Operator (2022 -> 2023)
- Thomson Financial - Resignation
Kelly Productions - Resignation
Los Santos Trucking Co. - 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.
- Mild Hay Fever
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): Michael AndersonOn submitting this application, I, Michael Anderson, 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): Michael Anderson
Date: 13/AUG/2023
(( Section 7: OOC Information ))
7.1 Forum name: Tomsy
7.2 Geographical location and timezone: United Kingdom, GMT+0
7.4 Discord username: hisao_mereel
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 on & off GTAW since it first opened and roleplaying for over 10 years, mainly on LSRP on SA:MP.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Michael Anderson - San Fire, Junior Public Information Officer
- Joshua Roche - Aurum Energy Inc, Human Resources Supervisor
- Haytham Morgan
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: * Michael Anderson provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 13/AUG/2023.
7.12 Drug test: * Michael Anderson conducts a drug test at the SFM Rockford Hills Headquarters on 13/AUG/2023. It returns Negative.
