[legend=Introduction]
[center][img]https://i.imgur.com/nExpuUk.png[/img][/center]
[hr][/hr]
[center][b]CITY OS LOS SANTOS • SAN ANDREAS BOULEVARD, LITTLE MEXICO • LOS SANTOS, SAN ANDREAS[/b][/center][/legend]



[legend=Personal Information]
[font=Serif][b]FIRST NAME: [/b][color=red][i]Patrick O'Byrne.[/i][/color]
[b]MIDDLE NAME NAME: [/b][color=red][i]N/A[/i][/color]
[b]LAST NAME: [/b][color=red][i]O'Byrne.[/i][/color]

[b]SEX: [/b] [color=red][i]Male.[/i][/color]
[b]ETHNICITY: [/b] [color=red][i]Caucasian.[/i][/color]
[b]BLOOD TYPE: [/b] [color=red][i]O- positive.[/i][/color]

[b]PHONE NUMBER: [/b] [color=red][i]336110.[/i][/color]
[b]E-MAIL ADDRESS: [/b] [color=red][i]patrickbyrne@gmail.com[/i][/color]

[b]DATE OF BIRTH: [/b] [color=red][i]19/08/1995.[/i][/color]
[b]PLACE OF BIRTH: [/b] [color=red][i]Belfast, Northern Ireland.[/i][/color]
[b]CITIZENSHIP: [/b] [color=red][i]Saint Andrews.[/i][/color]

[b]ZIP CODE: [/b] [color=red][i]1350.[/i][/color]
[b]ADDRESS OF RESIDENCE: [/b] [color=red][i]West Broadway, building C apartment 21.[/i][/color]
[b]CITY OF RESIDENCE: [/b] [color=red][i]Los Santos.[/i][/color][/legend]



[legend=Educational Experience]
[b][font=Serif]Academic Experience:[/font][/b]
[list][*][X] High School Diploma
[*][] Associates Degree
[*][] Bachelors Degree
[*][] Masters Degree
[*][] Doctorate[/list]


[b][font=Serif]List any degree types, if applicable:[/font][/b] [color=red][i]N/A[/i][/color]

[b][font=Serif]List any further studies if applicable:[/font][/b] [color=red][i]N/A[/i][/color][/legend]



[legend=Legal Background]
[b][font=Serif]Have you ever been convicted of a felony or misdemeanor?:[/font][/b] [color=red][i]No.[/i][/color]
[b][font=Serif]If so, for what? Explain what happened as detailed as possible:[/font][/b] [color=red][i]N/A.[/i][/color]

[b][font=Serif]Have you received more than three traffic violations and/or infractions in the past year?:[/font][/b] [color=red][i]No.[/i][/color]
[b][font=Serif]If so, for what? Explain what happened as detailed as possible:[/font][/b] [color=red][i]N/A.[/i][/color]

[b][font=Serif]Do you understand that the San Andreas Fire Services reserves the right to perform random background and drug screenings whilst employed, and/or pursuing employment with the San Andreas Fire Services?: [/font][/b] [color=red][i]YES/NO[/i][/color] [color=red][i]Yes, I understand.[/i][/color][/legend]



[legend=Medical & Licensing Information]
[b][font=Serif]Do you possess any firefighter licensing here in the state of San Andreas, or any territory and/or state subordinate to the United States of America?:[/font][/b] [color=red][i]No, I don't.[/i][/color]

[b][font=Serif]Do you possess any medical licensing or qualifications herein the state of San Andreas, or any territory and/or state subordinate to the United States of America?:[/font][/b] [color=red][i]No, I don't.[/i][/color]
[b][font=Serif]If yes, what medical licensing or qualifications do you possess?:[/font][/b] [color=red][i]N/A.[/i][/color]

[b][font=Serif]Do you have any illnesses, injuries, diseases, mental disorders, allergies or physical limitations that would prevent you from doing your regular duties in the San Andreas Fire Services?[/font][/b] [color=red][i]No, I don't have any illnesses, injuries, diseases or mental disorders.[/i][/color]
[b][font=Serif]If yes, explain what you have:[/font][/b] [color=red][i]N/A.[/i][/color][/legend]



[legend=Motivation]
[b][font=Serif]Why do you wish to join the San Andreas Fire Services?[/font][/b]
[color=red][i]ANSWER HERE[/i][/color]

[b][font=Serif]What skills or experiences do you possess that can be valuable to our San Andreas Fire Services?[/font][/b]
[color=red][i]ANSWER HERE[/i][/color]

[b][font=Serif]Why should we choose you over other applicants?[/font][/b]
[color=red][i]ANSWER HERE[/i][/color]

[b][font=Serif]Describe yourself in one word:[/font][/b]
[color=red][i]ANSWER HERE[/i][/color][/legend]



[legend=Legal Signature & Affidavit of Consent]
[b][font=Serif]By signing this form, I, [WRITE YOUR FULL NAME HERE], understand that any injury, death, or illness that duty may incur whilst incumbent of the San Andreas Fire Services, is of no liability towards the San Andreas Fire Services, or its' constituents/subordinate members. I also herein consent to any legal background checks, medical and psychological tests, urinary, blood, or drug testing samples of otherwise, that may be conducted whilst pursuing employment, or maintaining employment status.[/font][/b]

[b][font=Serif]SIGNATURE:[/font][/b] [color=red][i][img]https://i.imgur.com/1kbwcFH.png[/img][/i][/color]
[b][font=Serif]DATE:[/font][/b] [color=red][i]06/01/2018.[/i][/color]

[b][font=Serif]I, [Patrick O'Byrne], also herein understand that any damages that may occur to property, life, psych, or social status whilst employed by the Los Santos Fire Department, are not thus responsibilities to be bore by the San Andreas Fire Services.[/font][/b]

[b][font=Serif]SIGNATURE:[/font][/b] [color=red][i][img]https://i.imgur.com/1kbwcFH.png[/img][/i][/color]
[b][font=Serif]DATE:[/font][/b] [color=red][i]06/01/2018.[/i][/color]

[b][font=Serif]I, [Patrick O'Byrne], also understand that I am to render assistance to all those willing, despite any personal vindictive grudge, views, traditions, or customs, to any individual in need. I also understand that patients/victims reserve the right to refuse any treatment or assistance at any point, and I am to cease and desist at the aforementioned point, whilst providing a waiver of departure towards the afflicted refuser.[/font][/b]

[b][font=Serif]SIGNATURE:[/font][/b] [color=red][i][img]https://i.imgur.com/1kbwcFH.png[/img][/i][/color]
[b][font=Serif]DATE:[/font][/b] [color=red][i]06/01/2018.[/i][/color]

[b][font=Serif]Finally, I, [Patrick O'Byrne], understands and agrees to adhere to all policies, ethos, codes, and procedures that are standard to the San Andreas Fire Services, with failure subject to penalty of removal and/or discharge, revocation of benefits, as well as docking of pay.[/font][/b]

[b][font=Serif]SIGNATURE:[/font][/b] [color=red][i][img]https://i.imgur.com/1kbwcFH.png[/img][/i][/color]
[b][font=Serif]DATE:[/font][/b] [color=red][i]06/01/2018.[/i][/color][/legend]



[legend=(( OOC Information ))]
[b][font=Serif]Geographical Location:[/font][/b] [color=red][i]Eastern Europe, Estonia.[/i][/color]
[b][font=Serif]Timezone:[/font][/b] [color=red][i]UTC+02:00.[/i][/color]

[b][font=Serif]In-Game Account Name:[/font][/b] [color=red][i]Rynaty.[/i][/color]
[b][font=Serif]Administrative Record (/history in-game):[/font][/b] [color=red][i]https://i.imgur.com/48j4IZR.jpg?1[/i][/color]

[b][font=Serif]Have you ever been a member of the San Andreas Fire Services, either on Legacy Roleplay or any other roleplay server?:[/font][/b] [color=red][i]No, I have not.[/i][/color]
[b][font=Serif]If so, why did you leave?[/font][/b] [color=red][i]N/A.[/i][/color]

[b][font=Serif]Are you currently a member of any other factions?:[/font][/b] [color=red][i]Nio.[/i][/color]
[b][font=Serif]If so, what faction are you in and which character are you using in that faction?:[/font][/b] [color=red][i]N/A.[/i][/color]

[b][font=Serif]Character Stats (/stats in-game):[/font][/b] [color=red][i]https://i.imgur.com/CntwjEc.jpg?1[/i][/color]

[b][font=Serif]Additional Information (write whatever you feel is important for us to know from an OOC standpoint):[/font][/b] [color=red][i]N/A.[/i][/color][/legend]