State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Mr
1.2: Forename(s): Santiago
1.3: Surname(s): Andrade
1.4: Other name(s):
1.5: Date of Birth: 23/NOV/1997
1.6: Primary place of residence: Rockford Hotel
1.7: Contact Number: 3433726
1.8: Email Address: [email protected]
Section 2: Employment History
Please list below your employment history since being discharged from the Office of the State Fire Marshal.
N/A
2.1: Please list hereunder reasons for dismissal within previous employment:
Personal resignation
Section 3: Medical History
Please list and elaborate on, in the space hereunder, any updates to your medical history since your previous discharge from the Office of the State Fire Marshal.
None
Section 4: Re-employment
4.1: Why do you want to reinstate to the Office of the State Fire Marshal?
To continue where I left of with my development in the department.
4.2: What have you been doing since your discharge from the Office, and how has this had an impact on you and your decision to request reinstatement?
Taking time to better myself and work on family issues.
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
Personal reasons
4.4: What was your previous rank?:
Deputy Fire Marshal III
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Santiago Andrade, 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 (print):Santiago Andrade
Name (signed): S.Andrade
Date: 06/SEP/2023
(( Section 6: OOC Information ))
7.1: Forum name: Gatsbeh
7.2: Discord username (Optional): Gatsbeh
7.3: Please provide an unedited screenshot of your entire admin record: TBD
7.4: Please provide an unedited screenshot of your character statistics summary: TBD
7.5: Drug test: * Santiago Andrade conducts a drug test at the Vespucci HQ on 06/SEP/2023. It returns negative.
