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'd like to return to serving once again now that I'm free of obligations. It was unfortunate timing but a responsibility I could not ignore.
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've have been a caregiver for a grandparent with declining health. The day to day routine was too much for my parents so I had to assist. We've since been able to arrange for full time home care hence I would like to return to my duties.
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
(The time frame was really bad. The LC server had just launched and killed the numbers on the LS map..combine that with my NA EST timezone and it was very hard for me to find the motivation to continue. I'm glad to see things have made a turn around!)
4.4: What was your previous rank?:
Deputy 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: 07/03/2023
(( 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/PGRn3bT
7.4: Please provide an unedited screenshot of your character statistics summary:
https://imgur.com/a/AwYp5qF
7.5: Drug test: * Kate Velasquez conducts a drug test at the Vespucci HQ on 07/03/2023. It returns Negative