State Fire Marshal Application
Section 1: Personal Information
1.1 Title: Mr
1.2 Forename(s): Owen
1.3 Surname(s): Pierce
1.4 Other name(s): N/A
1.5 Date of Birth: 18/AUG/2001
1.6 Weight: 186 lbs
1.7 Height 5ft 9ins
1.8 Primary place of residence: The Royale Apartment, Spanish Avenue , West Vinewood , Los Santos, San Andreas
1.9 Contact Number: 4336-4802
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:
- Computer Science, Bachelor, Yale University, class of 2023
Section 3: Employment History
Please list below your entire employment history, including your most recent agency service.
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3.1 Most recent agency affiliation: Aurum Energy
3.2 Rank held: Intern
3.3 Tenure: (Current)
3.4 Please list any further affiliations or employment hereunder, including position and tenure:
- Intern - Aurum Energy
Longshoreman - Port of Los Santos
- Port of Los Santos - 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.
- None
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:
- Purchase a Firearm License
Hunting License
Section 6: Declaration
Replace and complete as appropriate the information hereunder:
Name (print): Owen PierceOn submitting this application, I, Owen Pierce, 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): Owen Pierce
Date: 16/AUG/2023
(( Section 7: OOC Information ))
7.1 Forum name: gusting
7.2 Geographical location and timezone: Brazil GMT -3
7.4 Discord username: gusttttt
7.5 Please list languages in which you may be fluent in, alongside English: Portuguese
7.6 How long have you been roleplaying on GTA:W, and roleplaying in total? Since 2009 on SAMP and since 2019 on GTAW
7.7 List ALL current and past character names. Include faction and rank if applicable.
- Robter Tapia -> No faction affiliation -> Drug dealer who became legal, working at port as Foreman.
- Travis Refoua -> Mongols MC -> Seargeant at Arms, now nomad.
7.9 Please provide an unedited screenshot of your character statistics summary: ACCESS
7.10 Please write your character's background story (Minimum 250 words.): 7.11 Fingerprint sample: * Owen Pierce provides a sample of all of their fingerprints to the Office of the State Fire Marshal at their Rockford Hills HQ on 16/AUG/2023.
7.12 Drug test: * Owen Pierce conducts a drug test at the SFM Rockford Hills Headquarters on 16/AUG/2023. It returns Negative.
