State Fire Marshal Application
Section 1: Personal Information
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1.1 Title: Mr
1.2 First Name: Brian
1.3 Last Name: Scott
1.4 Middle Name: /
1.5 Date of Birth: 22/05/1995
1.6 Weight: 195 lbs
1.7 Height 6ft 3ins
1.8 Primary place of residence: Eastern Motel Room 5
1.9 Contact Number: 57484052
1.10 Email Address: [email protected]
1.11 Please provide a passport photo (150x150) of you on the right top corner of this form.
Section 2: Educational History
Please list and elaborate on, in the space hereunder, the entirety of your formal education history, including details of qualifications:
- San Andreas Continuation High, graduated 2016.
ULSA - Engineering masters, graduated 2023. (Program mostly focused on electrical engineering)
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: None
3.2 Rank held: None
3.3 Tenure: None
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- Recently graduated form USLA so I have not been employed before.
Worked on family farm for most of my life, during studies I did many odd jobs (moving jobs, pool cleaning, gardening..)
- None
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.
- I have no medical condition, I am great shape and was part of athletics team in USLA
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): Brian ScottOn submitting this application, I, Brian Scott, 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): Brian Scott
Date: 15/09/2023
(( Section 7: OOC Information ))
7.1 Forum name: BokyS
7.2 Geographical location and timezone: Croatia (CET+1/CEST+2)
7.4 Discord username: bokys113
7.5 Please list languages in which you may be fluent in, alongside English:
Croatian (and similar languages)
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total?
I am registered on GTA:W since 2018. but I've made long breaks from GTA so on server I'd say I have about an year of experience altogether. I've been role playing on different games for more than 12 years.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Ivan Vasiliev -> Michael Hudson
- Jalen Sins (inactive)
- Brian Scott
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: * Brian Scott provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 22/05/1995.
7.12 Drug test: * Brian Scott conducts a drug test at the SFM Rockford Hills Headquarters on 22/05/1995. It returns negative result.
