[divbox=#FCFCEB][aligntable=left,0,0,0,0,0,][img]http://i.imgur.com/RsOQV9y.png[/img][/aligntable]



[center][size=130][font=Franklin Gothic Medium]Los Santos Fire Department - Application Form[/size][/font]
[font=Franklin Gothic Medium]Position : Part-Time[/font]

1950 MEDINA AVENUE • MARKET • LOS SANTOS 343 • SAN ANDREAS[/center][hr][/hr][center][size=120]Section 1 - Personal Information (In Character)[/size][/center][hr][/hr]
[list][aligntable=left,0,0,0,0,0,transparent][b]1.1 Surname:[/b] [size=85]Dershowitz[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.5 Address:[/b] [size=85]Cherry Road, East Beach, Los Santos 616, San Andreas[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.2 Forename:[/b] [size=85]Serena[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.6 Telephone number:[/b] [size=85]713908[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.3 Title:[/b] [size=85]Ms.[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.7 Email:[/b] [size=85]serena.d@gmail.com[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.4 Gender:[/b] [size=85]Female[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.8 Marital Status:[/b] [size=85]Single[/size][/aligntable]

[aligntable=left,0,0,0,0,0,transparent][b]1.9 Age:[/b] [size=85]31[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.12 Date of Birth:[/b] [size=85]12/04/1985[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.10 Height:[/b] [size=85]5'8"[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.13 Weight:[/b] [size=85]133 lbs.[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.11 Do you have any impariments?:[/b] [size=85]N/A[/size][/aligntable][/list]


[hr][/hr][center][size=120]Section 2 - Education [/size][/center][hr][/hr]

[list][b]2.1 Please list your education you have achieved in the blow template.[/b]

[list][b]2.1.1 Name of School/College and university:[/b] [size=85]Oakton College[/size]
[b]2.1.2 Subject:[/b][size=85]Civil Rights[/size]
[b]2.1.2 Qualification:[/b] [size=85]Bachelor's Degree in Civil Rights[/size][/list][/list]

[list][b]2.1.1 Name of School/College and university:[/b] [size=85]George Mason University School of Law[/size]
[b]2.1.2 Subject:[/b] [size=85]Law[/size]
[b]2.1.2 Qualification:[/b] [size=85]Masters of Laws[/size][/list][/list]

[hr][/hr][center][size=120]Section 3 - Licenses, Permits and Background [/size][/center][hr][/hr]

[list][b]3.1 Are you currently in possession of a valid San Andreas Driver's License?:[/b][size=85]Yes[/size]
[b]3.1.1. If yes, do you possess any warnings on your license?:[/b][size=85]No[/size]
[b]3.1.2 Has your license ever been revoked in the past 5 years?:[/b][size=85]No[/size]

[b]3.2 Are you currently in possession of a valid San Andreas Aviation License?:[/b]No
[b]3.2.1 If yes, has your license ever been revoked in the past 5 years?:[/b]No

[b]3.3 Are you a lawful citizen of San Andreas or hold Permanent Residency?:[/b][size=85]Yes[/size]
[b]3.3.1 Have you ever been convicted of a criminal offence?:[/b]N/A
[b]3.3.2 If yes, please explain:[/b]N/A[/list]

[hr][/hr][center][size=120]Section 4 - Previous Employment and Experience [/size][/center][hr][/hr]

[list][b]4.1 Have you ever been employee of any Government Agency previously?:[/b][size=85]No[/size]
[b]4.1.1 Do you have a history of Military Service? If so, was the discharge Honorable or Dishonorable?:[/b]No[/b]
[b]4.1.2 Do you have a previous employment background in any Medical Agency or Fire Department?:[/b]No[/b][/list]

[list][b]4.2 Please list your previous employment using the template below.[/b]

[list][b]4.2.1 Name of Company:[/b] [size=85]Self-employed[/size]
[b]4.2.2 Period of Employment:[/b]
[b]4.2.2 Involvement of the Job:[/b] [size=85]<Answer Here>[/size][/list]

[list][b]4.2.1 Name of Company:[/b] [size=85]<Answer Here>[/size]
[b]4.2.2 Period of Employment:[/b] [size=85]<Answer Here>[/size]
[b]4.2.2 Involvement of the Job:[/b] [size=85]<Answer Here>[/size][/list][/list]


[hr][/hr][center][size=120]Section 5 - Narrative [/size][/center][hr][/hr]

[list][b]5.1 Explain what motivated you to apply for the Los Santos Fire Department. (Explain in detail, minimum 200 words): [/b][size=85]<Answer Here>[/size]

[b]5.2 Do you believe you have any qualities that you could bring to the Fire Department that make you stand out?(Explain in detail, minimum 50 words):[/b][size=85]<Answer Here>[/size]

[b]5.3 Explain what makes you unique, why should we consider your application, and what makes your different from any of the other applicants? (Explain in detail, minimum 75 words):[/b][size=85]<Answer Here>[/size]

[b]5.4 What part-time position are you applying for, and what made you follow this path? (Explain in detail, minimum 75 words):[/b][size=85]<Answer Here>[/size][/list]


[hr][/hr][center][size=120]Section 6 - Applicant Statement [/size][/center][hr][/hr]

[quote]
[i][size=90]I, (Firstname Lastname), certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days.  Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.  It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer[/size].[/i]

      [b]Date:[/b] [i]dd/mm/yyyy[/i]
      [b]Applicant's Signature:[/b] [i]SIGNATURE HERE[/i][/quote]

  [b][size=65]ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER,  AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF An NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.[/size][/b]


[hr][/hr][center][size=120]Section 7 - (( OOC Section )) [/size][/center][hr][/hr]

    [list][b]7.1 IG-level:[/b] [size=85]<Answer Here>[/size]
    [b]7.2 Member of LSRP since:[/b] [size=85]<Answer Here>[/size]
    [b]7.3 Geographical location? (Country):[/b] [size=85]<Answer Here>[/size]


    [b]7.4 Why do you wish to join the LSFD? Effort please(at least 100 words):[/b] [size=85]<Answer Here>[/size]

    [b]7.5 What kind of activity can we expect?:[/b][size=85]<Answer Here>[/size]

    [b]7.6 Are you able to communicate effectively in the English language?:[/b][size=85]<Answer Here>[/size]

    [b]7.7 Do you possess any real life experience, training or certifications relating to Medical work or Firefighting?:[/b] [size=85]<Answer Here>[/size]

    [b]7.8 Have you ever applied to the Fire Department before? If so, why did you (have to) reapply?:[/b] [size=85]<Answer Here>[/size]

    [b]7.9 List any and [u]all[/u] alternative accounts including levels:[/b] [size=85]<Answer Here>[/size]

    [b]7.10 Have you ever been a part of another official faction?:[/b] [size=85]<Answer Here>[/size]
    [b]7.10.1 If yes to 6.13.1. please list the faction(s) and the names:[/b][size=85]<Answer Here>[/size]
    [b]7.10.3 Are you currently banned from PD/SD/SADOC/GOV?:[/b][size=85]<Answer Here>[/size]

    [b]7.11 Do you belong to another official faction?:[/b][size=85]<Answer Here>[/size]
    [b]7.11.1 If yes, please post a link to your double faction approval:[/b][size=85]<Answer Here>[/size]

    [b]7.12 Post a screenshot of an unedited version of your admin record for ALL of your characters:[/b]
    [spoiler]Insert images here[/spoiler]

    [b]7.13 LS-RP Forum account:[/b][size=85]<Answer Here>[/size]
    [b]7.14 LS-RP Forum account verification:[/b][size=85]<Answer Here>[/size] (Post a link of your verfication from [url=http://forum.ls-rp.com/viewtopic.php?f=130&t=510847]this topic[/url]. DELETE this hint after you got the link.)[/list]


[hr][/hr][center][size=120]Section 8 - Additional notes [/size][/center][hr][/hr]

   [list] [b]8.1 Please post any notes you'd like taken into account regarding the application here:[/b][size=85]<Answer Here>[/size][/list][/list][/divbox]