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

[center][size=250][b]Los Santos Fire Department[/b][/size]
[size=230]Application Form[/size]


[size=120]1950 MEDINA AVENUE • MARKET • LOS SANTOS 343 • SAN ANDREAS[/size][/center]

[hr][/hr][center][size=200][b]Section 1[/b] - Personal Information[/size][/center][/font][hr][/hr]
[list][u]1.1[/u] [b]Surname:[/b] [i]Answer[/i]
[u]1.2[/u] [b]Forename:[/b] [i]Answer[/i]
[u]1.3[/u] [b]Gender:[/b] [i]Answer[/i]
[u]1.4[/u] [b]Date of Birth:[/b] [i]Answer[/i]
[u]1.5[/u] [b]Phone/Contact Number:[/b] [i]Answer[/i]
[u]1.6[/u] [b]Email Address:[/b] [i]Answer[/i]
[u]1.7[/u] [b]Residential Address:[/b] [i]Answer (( /myhouse or /streetname ))[/i]
[u]1.8[/u] [b]Height (in feet and inches):[/b] [i]Answer[/i]
[u]1.9[/u] [b]Weight (in lbs):[/b] [i]Answer[/i]
[u]1.10[/u] [b]Do you have any impairments?[/b] [i] Answer here. If your answer is "yes", please explain.[/i][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 2[/b] - Education[/size][/center][/font][hr][/hr]

[list][u]2.1[/u] [b]Please list your educational history using the format below.[/b]

[list][u]2.1.1[/u] [b]Name of School/College and University:[/b] [i]Answer[/i]
[u]2.1.2[/u] [b]Subject:[/b] [i]Answer[/i]
[u]2.1.3[/u] [b]Qualification:[/b] [i]Answer[/i][/list]

[list][u]2.1.4[/u] [b]Name of School/College and University:[/b] [i]Answer[/i]
[u]2.1.5[/u] [b]Subject:[/b] [i]Answer[/i]
[u]2.1.6[/u] [b]Qualification:[/b] [i]Answer[/i][/list][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 3[/b] - Licenses, Permits and Background[/size][/center][/font][hr][/hr]

[list][u]3.1[/u] [b]Are you currently in possession of a valid San Andreas Driver's License?[/b] [i]Answer[/i]
[list][u]3.1.1[/u] [b]If yes, do you possess any warnings on your license?[/b] [i]Answer[/i]
[u]3.1.2[/u] [b]Has your license ever been revoked in the past 5 years?[/b] [i]Answer[/i][/list]

[u]3.2[/u] [b]Are you currently in possession of a valid San Andreas Aviation License?[/b] [i]Answer[/i]
[list][u]3.2.1[/u] [b]If yes, has your license ever been revoked in the past 5 years?[/b] [i]Answer[/i][/list]

[u]3.3[/u] [b]Are you a lawful citizen of San Andreas or hold Permanent Residency?[/b] [i]Answer[/i]

[u]3.4[/u] [b]Have you ever been convicted of a criminal offence?[/b] [i]Answer[/i]
[list][u]3.4.1[/u] [b]If yes, please explain:[/b] [i]Answer[/i][/list][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 4[/b] - Previous Employment and Experience[/size][/center][/font][hr][/hr]

[list][u]4.1[/u] [b]Have you ever been an employee of any Government Agency?[/b] [i]Answer[/i]

[u]4.2[/u] [b]Do you have a history of Military Service? If so, was the discharge Honorable or Dishonorable?[/b] [i]Answer[/i]

[u]4.3[/u] [b]Do you have a previous employment background in any Medical Agency or Fire Department?[/b] [i]Answer[/i][/list]

[list][u]4.4[/u] [b]Please list any previous employments using the template below.[/b]

[list][u]4.4.1[/u] [b]Name of Company:[/b] [i]Answer[/i]
[u]4.4.2[/u] [b]Period of Employment:[/b] [i]Answer[/i]
[u]4.4.3[/u] [b]Involvement of the Job:[/b] [i]Answer[/i]
[u]4.4.4[/u] [b]Reason for Discharge:[/b] [i]Answer[/i][/list]

[list][u]4.4.5[/u] [b]Name of Company:[/b] [i]Answer[/i]
[u]4.4.6[/u] [b]Period of Employment:[/b] [i]Answer[/i]
[u]4.4.7[/u] [b]Involvement of the Job:[/b] [i]Answer[/i]
[u]4.4.8[/u] [b]Reason for Discharge:[/b] [i]Answer[/i][/list][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 5[/b] - Narrative[/size][/center][/font][hr][/hr]

[list][u]5.1[/u] [b]Why do you wish to join the LSFD? What is your motivation?[/b][size=80] (Explain in detail, [u]minimum of 200[/u] words)[/size]: [i]Answer[/i]

[u]5.2[/u] [b]What qualities do you believe you can bring to the Los Santos Fire Department? What sort of a person do you see yourself as?[/b] [size=80](Explain in detail, [u]minimum of 50[/u] words)[/size]: [i]Answer[/i]

[u]5.3[/u] [b]What do you feel will be expected of you as an employee of the Los Santos Fire Department?[/b] [size=80](Explain in detail, [u]minimum of 75[/u] words)[/size]: [i]Answer[/i][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 6[/b] - Applicant Statement [/size][/center][/font][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/MMM/YYYY[/i]
      [b]Applicant's Signature:[/b] [i]SIGNATURE HERE[/i][/quote]

[center][font=Bebas Neue]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.[/font][/center]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 7[/b] - (( Out of Character Section ))[/size][/center][/font][hr][/hr]

[list][u]7.1[/u] [b]What is your in-game level?[/b] [i]Answer[/i]

[u]7.2[/u] [b]How long have you been on LSRP?[/b] [i]Answer[/i]

[u]7.3[/u] [b]What is your geographical location?[/b]: [i]Answer[/i]

[u]7.4[/u] [b]Why do you wish to join the LSFD?[/b] [size=80](Explain in detail, [u]minimum of 100[/u] words)[/size]: [i]Answer[/i]

[u]7.5[/u] [b]What kind of activity can we expect from you?[/b] [i]Answer[/i]

[u]7.6[/u] [b]Are you able to communicate effectively in the English language?[/b] [i]Answer[/i]

[u]7.7[/u] [b]Do you possess any real life experience, training or certifications relating to Medical work or Firefighting?[/b] [i]Answer[/i]

[u]7.8[/u] [b]Have you ever applied to the Fire Department before? If so, why did you have to reapply?[/b] [i]Answer[/i]

[u]7.9[/u] [b]List the name of any and [u]all[/u] alternative accounts you may have, including their levels:[/b]
[spoiler]LIST ALTERNATIVE ACCOUNTS AND THEIR LEVELS HERE[/spoiler]

[u]7.10[/u] [b]Have you ever been part of another official faction?[/b] [i]Answer[/i]
[list][u]7.10.1[/u] [b]If you've answered "yes", please list the faction(s) you were in and your respective character name(s) as well as your reason for leaving the faction:[/b] [i]Answer[/i][/list]

[u]7.11[/u] [b]Are you currently banned from LSPD/SASD/SADOC/CITY/DOJ/GOV?[/b]: [i]Answer[/i]

[u]7.12[/u] [b]Are any of your characters in an official faction?[/b]: [i]Answer[/i]
[list][u]7.12.1[/u] [b]If you've answered "yes", please post a link to your double faction approval from both FD's side and the other faction's side:[/b]
[spoiler][url]PASTE URL HERE[/url][/spoiler][/list]

[u]7.13[/u] [b]Post a screenshot of an unedited version of your admin record for ALL of your characters:[/b] [spoiler]INSERT IMAGES HERE[/spoiler]

[u]7.14[/u] [b]LS-RP Forum account:[/b] [spoiler][url]PASTE URL HERE[/url][/spoiler]
[list][u]7.14.1[/u] [b]LS-RP Forum account verification:[/b] [spoiler](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 have the link.)[/spoiler][/list]

[u]7.15[/u] [b]Please provide the link to your "Read and Understood" topic located in the LSFD Requirements topic:[/b] [spoiler][url]PASTE URL HERE[/url][/spoiler]

[u]7.16[/u] [b]Please provide a link to a screenshot containing information from either /myhouse or /streetname:[/b]
[spoiler][url]PASTE URL HERE[/url][/spoiler][/list]

[hr][/hr][font=Bebas Neue][center][size=200][b]Section 8[/b] - Additional notes[/size][/center][/font][hr][/hr]

[list][u]8.1[/u] [b]Please post any notes you'd like taken into account regarding the application here:[/b] [i]Answer[/i]
[/list][/divbox]