State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Miss
1.2: Forename(s): Valentina
1.3: Surname(s): Lain
1.4: Other name(s): N/A
1.5: Date of Birth: 21/11/1988
1.6: Primary place of residence: N/A (( Not namechanged yet ))
1.7: Contact Number: N/A (( Not namechanged yet ))
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.
LIST HERE: Place of Employment, Role, and Period of Employment
2.1: Please list hereunder reasons for dismissal within previous employment:
(( OOC resignation on Miranda Rodriguez ))
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 believe I can be a benefit to the Fire Marshal's Office as well as the State as a whole. I have a lot of experience in the field of law enforcement and looking forward to applying it in the field again. (( I want to play again as a fire marshal as it's a niche type of roleplay and I enjoy it. I just had no time in the past. ))
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?
Visiting family as I needed to stay with them due to medical implications.
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
(( Had no time to dedicate to SFM so I thought I'd leave my spot for someone else. ))
4.4: What was your previous rank?:
Deputy Fire Marshal
(( Deputy Fire Marshal, Arson Prevention Team ))
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Valentina Lain, 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): Valentina Lain
Name (signed): V. Lain
Date: 23/2/2023
(( Section 6: OOC Information ))
7.1: Forum name: Price
7.2: Discord username (Optional): Price#6936
7.3: Please provide an unedited screenshot of your entire admin record: https://i.imgur.com/sRh1Io8.png
7.4: Please provide an unedited screenshot of your character statistics summary: N/A, Still yet to Namechange
7.5: Drug test: * Valentina Lain conducts a drug test at the Vespucci HQ on 23/2/2023. It returns result.