State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 Forename(s): Steve
1.3 Surname(s): Limberg
1.4 Other name(s): N/A
1.5 Date of Birth: 05/JAN/1999
1.6 Weight: 158 lbs
1.7 Height 5 ft 8 ins
1.8 Primary place of residence: 6371 Apache Rd, Westminster, Orange County, SA 92683
1.9 Contact Number: 55847231
1.10 Email Address: [email protected]
Section 2: Educational History
Please list and elaborate on, in the space hereunder, the entirety of your formal education history, including details of qualifications:
- La Quinta High School (10372 W McFadden Ave, Westminster, SA 92683) - High School Diploma (History) - 08/SEP/2014 to 15/JUN/2018
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
3.1 Most recent agency affiliation: Uber
3.2 Rank held: Driver
3.3 Tenure: 0 years, 7 months ( 09/DEC/2022 - Still active)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- 3.1 Agency affiliation: 24/7 (15991 Magnolia St, Westminster, SA 92683.)
3.2 Rank held: Cashier
3.3 Tenure: 1 year, 0 months ( 26/MAR/2019 - 04/APR/2020)
3.1 Agency affiliation: Walmart (13331 Beach Blvd, Westminster, SA 92683.)
3.2 Rank held: Department Manager
3.3 Tenure: 2 years, 7 months (04/JUN/2020 - 09/DEC/2022)
3.1 Agency affiliation: Los Santos Fire Department.
3.2 Rank held: Fire candidate.
3.3 Tenure: 0 years, 0 months ( 27/MAY/2023 - 11/JUN/2023)
- 24-7 - Resignation
Walmart - Constructive Dismissal.
Los Santos Fire Dept. - Resignation
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 suffered a right knee injury and a torn cruciate ligament. I would also advise these past injuries will not affect my ability to work at SFM and could confirm it by passing a medical examination.
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:
- N/A
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print): Steve LimbergOn submitting this application, I, Steve Limberg, 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):
Date: 20/JUL/2023
(( Section 7: OOC Information ))
7.1 Forum name: Iglesias
7.2 Geographical location and timezone: France, UTC+2
7.4 Discord username: Santinowm
7.5 Please list languages in which you may be fluent in, alongside English: I'm a French native speaker.
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? I joined the server last year but have been active for three months, after leaving the French GTA: World server.
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Steve Limberg
- Gabriel Bárcenas - Mongols MC
- Owen Santora (Don't remember my last name on all of those characters.)
7.9 Please provide an unedited screenshot of your character statistics summary: [url=blob:https://imgur.com/955133d5-082b-4bcc-b2e8-c8abf7b25498]Access[/url]
7.10 Please write your character's background story (Minimum 250 words.): 7.11 Fingerprint sample: * Steve Limberg provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 21/JUN/2023.
7.12 Drug test: * Steve Limberg conducts a drug test at the SFM Rockford Hills Headquarters on 21/JUN/2023. It returns as negative.