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  1. [divbox=#FEFFF0][center][img]http://i.imgur.com/RsOQV9y.png[/img][/center]
  2.     [center][b][size=150]Los Santos Fire Department - Application Form
  3.     [/b]
  4.     [b]Position:[/b] Applicant[/size]
  5.     CITY OF LOS SANTOS •  226 SALES STREET COR. ALL SAINTS AVENUE • LOS SANTOS SA 55109[/center]
  6. [hr][/hr]
  7. [center]((IC SECTION))[/center]
  8. [hr][/hr]
  9. [img]http://i.imgur.com/iCBhoEx.png[/img] [b][size=130] [u]1. PERSONAL INFORMATION:[/u][/size][/b]
  10.  
  11.     [b][u]1.1.[/u] Surname:[/b] Whitehouse
  12.     [b][u]1.2.[/u] First Name and Middle Name:[/b] Fleur Lucia
  13.     [b][u]1.3.[/u] Current Age:[/b] 24
  14.     [b][u]1.4.[/u] Gender:[/b] Female
  15.     [b][u]1.5.[/u] Ethnic Group/Race:[/b] Caucasian
  16.  
  17.     [b][u]1.6.[/u] Current Address (Incl. House number, street, and city):[/b] 137, Trucker lane, Fort Carson
  18.     [b][u]1.7.[/u] Phone Number:[/b] 13-13-1
  19.  
  20.    [b][u]1.8.[/u] Current Height (in feet and inches):[/b] 5 feet 10 inches
  21.    [b][u]1.9.[/u] Current Weight (in pounds [lbs]):[/b] 154
  22.    [b][u]1.10.[/u] Do you have any impairments which would interfere with your ability to perform the essential functions of this position?:[/b] No.
  23.  
  24.     [b][u]1.11.[/u] Educational Background: (Name of High School and College, include degree):[/b] Scuola d'Milano, Los Santos College, Bachelors degree in Criminal psychology.
  25.     [b][u]1.12.[/u] Are you a previous employee of any Government Agency?:[/b] Yes, DOC.
  26.     [b][u]1.12.1.[/u]  Do you have a history of Military Service? If so, was the discharge Honorable or Dishonorable?:[/b] No.
  27.     [b][u]1.12.2.[/u]  Do you have a previous employment background in any Medical Agency or Fire Department?:[/b] No.
  28.  
  29. [img]http://i.imgur.com/iCBhoEx.png[/img] [b][size=130] [u]2. LICENSES AND PERMITS:[/u][/size][/b]
  30.  
  31.     [b][u]2.1.1.[/u] Do you hold a valid San Andreas State Driver's license?:[/b] Yes.
  32.     [b][u]2.1.2.[/u] If yes, do you possess any warnings on your license?:[/b] Yes, two.
  33.     [b][u]2.1.3. [/u]Has your license been revoked within the five years?:[/b] No.
  34.  
  35.     [b][u]2.2.1.[/u] Do you hold a valid San Andreas State Aviation license?:[/b] Yes.
  36.     [b][u]2.2.2.[/u] Has your license been revoked within the five years?:[/b] No.
  37.  
  38.     [b][u]2.3.1.[/u] Do you hold a valid firearms license?:[/b] Yes, PF and CCW.
  39.     [b][u]2.2.2.[/u] Has your license ever been revoked?:[/b] No.
  40.  
  41. [img]http://i.imgur.com/iCBhoEx.png[/img] [b][size=130] [u]3. BACKGROUND RECORD:[/u][/size][/b]
  42.  
  43.     [b][u]3.1.[/u]  Are you a lawful citizen of the United States or hold Permanent Residency?:[/b]  Yes, I am.
  44.     [b][u]3.2.1.[/u] Have you ever been convicted of any violations of law within the United States?:[/b] Yes.
  45.     [b][u]3.2.2.[/u]  If so, when and why?:[/b] CCW Violation, happened two years ago. It was a minor offense due to a technicality and I didn't lose my weapon licenses over it.
  46. **Attached would be the Application of Exception accepted by Mike Moretta**
  47. [spoiler][img]http://imgur.com/uP43D06.jpg[/img][/spoiler]
  48.    
  49. [hr][/hr]
  50. [img]http://i.imgur.com/iCBhoEx.png[/img][b][u][size=130]4.NARRATIVE[/size][/u][/b]
  51.    
  52.     [b][u]4.1.[/u] Tell us something about yourself and why you want to become a part of the LSFD (Explain in detail, minimum 200 words):[/b] Whitehouse, Nicole Whitehouse and Alaina Whitehouse) and one brother who unfortunately passed away (Abraham Whitehouse). My parents (Brandon Whitehouse and Lucia Whitehouse) has passed away as well back in Italy. I came in USA with my brothers for a better life style. I made a good far quantity of friends in Los Santos. I'm happily married to a person who works in the Fire Department.  I try whatever I can to provide for my sisters. I used to work in the San Andreas Correctional Facility as a Corporal.  I used to work and provide medical assistance for the patients and the correctional officers themselves. I have experience in medical stuff. I had to end my career in San Andreas Correctional Department because I had to travel back to Italy for some personal issues which I wouldn't like to mention. I came back to San Andreas, Los Santos not a long time ago and I wish to start another career in Fire Department. I wish to start hopefully a happy career in the Fire Department. I'm a hard working person when it comes to my career. I wish to climb up in ranks in ease. After all, everyone wishes to climb up. I don't put myself above anyone and never will. I'm a normal human, living off a normal life. There's many reasons behind why I wish to join the Fire Department. First of all, my wife being in the department motivates me to join and start a career in the Fire Department with her. Second of all, I need a stable payment for my daily life style. And third and that being the last is I wish to provide something for the citizens of Los Santos and earn a quantity, no matter how large or small it is of respect.
  53.  
  54.  
  55.     [b][u]4.2.[/u] What weaknesses do you feel you possess?:[/b](Explain in detail, minimum 30 words)
  56.  
  57.     [b][u]4.3.[/u] Do you believe you have any qualities that you could bring to the Fire Department that make you stand out?:[/b](Explain in detail, minimum 30 words)
  58.  
  59.     [b][u]4.4.[/u] In your personal opinion, what do you feel you will be expected to do in the Fire Department?:[/b](Explain in detail, minimum 30 words)
  60.  
  61.    [b][u]4.5.[/u] What makes you think you would be able to deal with the stresses of being a firefighter or a paramedic?:[/b](Explain in detail, minimum 40 words)
  62.  
  63. [hr][/hr]
  64. [img]http://i.imgur.com/iCBhoEx.png[/img][b][u][size=130]5. APPLICANT'S STATEMENT[/size][/u][/b]
  65. [quote]
  66. [i][size=90]I, Fleur Whitehouse, 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 in 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]
  67.  
  68.       [b]Date:[/b] [i]20/03/2016[/i]
  69.       [b]Applicant's Signature:[/b] [i]F.Whitehouse[/i][/quote]
  70.  
  71.     [b][size=65]ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER,  AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.[/size][/b]
  72.  
  73. [hr][/hr]
  74.    [center]((OOC SECTION))[/center]
  75. [hr][/hr]
  76. [img]http://i.imgur.com/iCBhoEx.png[/img][b][u][size=130]6. OOC Details[/size][/u][/b]
  77.  
  78.     [b][u]6.1.[/u] Time zone:[/b] GMT+1
  79.     [b][u]6.2.[/u] IG-level:[/b] 36
  80.     [b][u]6.3.[/u] Gender:[/b] Male
  81.     [b][u]6.4.[/u] Member of LSRP since:[/b] 2013
  82.     [b][u]6.5.[/u] Geographical location? (Country):[/b] Austria
  83.     [b][u]6.6.[/u] Real life age?:[/b] 19
  84.  
  85.     [b][u]6.7.[/u] Why do you wish to join the LSFD? Effort please(at least 100 words):[/b] ?????
  86.  
  87.     [b][u]6.8.[/u] What kind of activity can we expect?:[/b] I am active daily for quite a few hours and upon acceptance would dedicate most of my game time to the faction.
  88.  
  89.     [b][u]6.9.[/u] Are you able to communicate effectively in the English language?:[/b] Yes.
  90.  
  91.     [b][u]6.10.[/u] Do you possess any real life experience, training or certifications relating to Medical work or Firefighting?: [/b] None other than the basic First Aid course they force you to take for your drivers license.
  92.  
  93.     [b][u]6.11.[/u] Have you ever applied to the Fire Department before? If so, why did you (have to) reapply?:[/b] No.
  94.  
  95.     [b][u]6.12.[/u] List any and [u]all[/u] alternative accounts including levels:[/b] Richard Mercer- LV 2
  96. Isabelle Geauxinue - Lv 3
  97. There might be more however I do not have access to any of them as of right now, in probation. (Read closing Note)
  98.  
  99.     [b][u]6.13.1.[/u] Have you ever been a part of another official faction?:[/b] Yes.
  100.     [b][u]6.13.2.[/u] If yes to 6.13.1. please list the faction(s) and the names:[/b] DOC-Fleur Whitehouse
  101.     [b][u]6.13.3.[/u] If yes, why did you leave the faction(s):[/b] Personal resignation, needed to take some time off.
  102.     [b][u]6.13.4.[/u] Are you currently banned from PD/SD/SADOC/GOV?:[/b] No.
  103.  
  104.     [b][u]6.14.1.[/u] Do you belong to another official faction?:[/b] No.
  105.     [b][u]6.14.2.[/u] If yes, please post a link to your double faction approval:[/b] N/A
  106.  
  107.     [b][u]6.15.[/u]  Post a screenshot of an unedited version of your admin record for ALL of your characters:[/b]
  108.     [spoiler]Insert images here[/spoiler]
  109.  
  110.     [b][u]6.16.[/u] LS-RP Forum account:[/b] Mercer_
  111.     [b][u]6.17.[/u] LS-RP Forum account verification:[/b] (Post a link of your verfication from [url=http://forum.ls-rp.com/viewtopic.php?f=130&t=510847]this topic[/url].)
  112.  
  113.     [img]http://i.imgur.com/iCBhoEx.png[/img][b][u][size=130]7. ADDITIONAL [/size][/u][/b]
  114.  
  115.     [b][u]7.1.[/u] Please post any notes you'd like taken into account regarding the application here:[/b][/divbox]
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