State Fire Marshal: Reinstatement Form
Section 1: Personal Information
1.1: Title (Delete as appropriate): Ms.
1.2: Forename(s): Leticia
1.3: Surname(s): Barajas
1.4: Other name(s): N/A
1.5: Date of Birth: 15/JAN/1998
1.6: Primary place of residence: San Andreas Ave Floor 6, Room 3. (( Subject to change ))
1.7: Contact Number: 5011980
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: 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?
(( Looking for something slower paced and good for well thought out character development ))
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?
N/A
(( 4.3: Why did you leave the Office of the State Fire Marshal? ))
(( I quit GTA. ))
4.4: What was your previous rank?:
Deputy Fire Marshall III
Section 5: Declaration
Replace and complete as appropriate the information hereunder:
On submitting this application, I, Leticia Barajas, 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): Leticia Barajas
Name (signed): L.Barajas
Date: 03/APR/2023
(( Section 6: OOC Information ))
7.1: Forum name: Jedai
7.2: Discord username (Optional): seech#0156
7.3: Please provide an unedited screenshot of your entire admin record: ACCESS
7.4: Please provide an unedited screenshot of your character statistics summary: ACCESS ((
7.5: Drug test: * Leticia Barajas conducts a drug test at the Vespucci HQ on 03/APR/2023. It returns NEGATIVE.