State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Ms
1.2: Forename(s): Kate
1.3: Surname(s): Velasquez
1.4: Other name(s):
1.5: Date of Birth: 14/Dec/1994
1.6: Primary place of residence: 3 Lindsay Circus, Los Santos, San Andreas
1.7: Contact Number: 234-311-72
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:
N/A
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.
N/A
Section 4: Re-employment
4.1: Why do you want to reinstate to the Office of the State Fire Marshal?
(I have more free time to devote now to the faction. I overall enjoyed the people I roleplayed with I just unfortunately had other things that needed my attention in the real world that pulled me away from playing.)
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?
(I completed alot of projects around my house that needed to be done, I helped take care of an elderly grandparent with declining health.)
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
(With the amount of stuff I had going on in my personal life it was very hard to find some motivation to even log into the game.)
4.4: What was your previous rank?:
Fire Marshal
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Kate Velasquez, 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): Kate Velasquez
Name (signed): Kate Velasquez
Date: 14/DEC/1994
(( Section 6: OOC Information ))
7.1: Forum name: stellabellum
7.2: Discord username (Optional): WookieCookie#9798
7.3: Please provide an unedited screenshot of your entire admin record: https://imgur.com/a/FZlRTth
7.4: Please provide an unedited screenshot of your character statistics summary: https://ucp.gta.world/view/stats/tpcbw
7.5: Drug test: * Kate Velasquez conducts a drug test at the Vespucci HQ on 26/AUG/2022. It returns NEGATIVE.