latest?cb=20140327031314
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Section 1 - Personal Information


1.1 Title: (Mr./Mrs./Ms./Miss)
1.2 First name:
1.3 Middle name:
1.4 Last name:

1.5 Date of Birth:
1.6 Contact Number:
1.7 Email Address:
1.8 Place of Birth:
1.9 Residential Address:
1.10 Height:
1.11 Weight:

1.12 Do you have impairments or deficiencies? If yes, explain in detail:
Answer:

1.13 Do you have a medical record? If so, elaborate:
Answer:

1.14 Do you have any medical conditions that could hinder your duties as a LSFD employee?
Answer:

1.15 Are you right-handed, left-handed or ambidextrous? (Mark with X)
[ ] Right-handed
[ ] Left-handed
[ ] Ambidextrous
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Section 2 - Education

2.1 Educational History
   2.1.1 Name of High School:
   2.1.2 Year of Graduation:

2.2 Name of College/University:
   2.2.1 Qualification:
   2.2.2 Year of Graduation:


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Section 3 - Previous Employment

3.1 Have you ever worked for any Government Agency before? If yes, which one?
Answer:

3.2 Do you have any experience or previous employment history with any Medical/Rescue/Fire Agency?
Answer:

3.3 Do you have a history in Military Service? If so, elaborate:
Answer:

3.4 List any previous employments below: (Use "N/A" for the remaining templates if necessary)

   3.4a.1 Name of Company/Employer:
   3.4a.2 Period of Employment: (DD/MM/YY to DD/MM/YY)
   3.4a.3 Position:
   3.4a.4 Reason for dismissal:


   3.4b.1 Name of Company/Employer:
   3.4b.2 Period of Employment: (DD/MM/YY to DD/MM/YY)
   3.4b.3 Position:
   3.4b.4 Reason for dismissal:


   3.4c.1 Name of Company/Employer:
   3.4c.2 Period of Employment: (DD/MM/YY to DD/MM/YY)
   3.4c.3 Position:
   3.4c.4 Reason for dismissal:

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Section 4 - Permits and Background

4.1 Do you possess a valid driver's license?
[ ] Yes
[ ] No

4.2 Do you possess a valid aviation's license?
[ ] Yes
[ ] No

4.3 Do you possess a valid personal firearms permit?
[ ] Yes
[ ] No

4.4 Are you a lawful citizen of the state of San Andreas? Include Permanent Residency information if necessary:
Answer:

4.5 Have you ever been convicted of a crime? If yes, elaborate:
Answer:



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Section 5 - Narrative

5.1 Why do you wish to join the Los Santos Fire Department?
Answer: (Minimum 150 words)

5.2 Why do you find this career more appealing than others?
Answer: (Minimum 150 words)

5.3 In your own words, what does the word "Discipline" mean to you and how does it enhance teamwork?
Answer: (Minimum 100 words)




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Section 6 - Declaration & Statement

By submitting this application, I, NAME LASTNAME, hereby certify that all questions contained in this document were met with truthful statements. I fully authorize investigation of any content shared on this document. I am aware that lying, omitting, plagiarizing or maliciously adulterating this application will result in immediate denial and indefinite ban from future recruitment drives. I hereby declare that I understand that the Los Santos Fire Department's acting High Command may discharge me at will with or without cause and that I may resign from the department at any time. I acknowledge the fact that I am must participate in an academy or private training session and pass a written exam before practicing any medical practices. In the event of employment, it is further acknowledged that I may not exercise any medical practices or techniques that were not taught in academical sessions, for it would be practice of illegitimate medical practice, if it is legally proven that I have done such I agree and understand that it may be used against and face dishonorable discharges plus criminal charges.


Date: DD/MM/YY

SIGNATURE:

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(( Section 7 - OOC Section ))

7.1 Forum name:
7.2 Age:
7.3 Geographical location:
7.4 Timezone:

7.5 How long have you been on GTAW?:
7.6 How long have you been roleplaying in total?:
7.7 How active do you plan to be if invited to the LSFD?

7.8 Do you have any previous real life(or from other RP servers) experience with medical work and rescue? If yes, elaborate:
Answer:

7.9 Can you communicate effectively in English?
7.10 Additional languages:

7.11 Have you ever been in another official faction? If yes, list them and their ranks:
Answer:

7.12 Are you currently banned from LSPD/GOV? If yes, elaborate:
Answer:

7.13 Please list all your characters, including characters from alternative accounts:
Answer:

7.14 Post a screenshot of your in-game /stats:
Link:

7.15 Tell us a little about your character. His/her hobbies, place of birth, history, characteristics, fears, goals, etc.
Answer:

7.16 Additional notes:
Answer: