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[center][size=130][font=Franklin Gothic Medium]Los Santos Fire Department - Application Form[/size][/font]
[font=Franklin Gothic Medium]Position :- Applicant[/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]Nguyen[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.5 Address:[/b] [size=85]Apartment #1905 in Rodeo
[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.2 Forename:[/b] [size=85]Zeek[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.6 Telephone number:[/b] [size=85]1580078[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.3 Title:[/b] [size=85]Mr. [/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.7 Email:[/b] [size=85]cam.howa@gmail.com[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.4 Gender:[/b] [size=85]Male[/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]23[/size][/aligntable][aligntable=right,350,0,0,0,0,transparent][b]1.12 Date of Birth:[/b] [size=85]12/12/1992[/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]165[/size][/aligntable]
[aligntable=left,0,0,0,0,0,transparent][b]1.11 Do you have any impariments?:[/b] [size=85]No[/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]Cal State Berkeley [/size]
[b]2.1.2 Subject:[/b] [size=85]Health & Medication[/size]
[b]2.1.2 Qualification:[/b] [size=85]Bachelors Degree[/size][/list]

[list][b]2.1.1 Name of School/College and university:[/b] [size=85]<Answer Here>[/size]
[b]2.1.2 Subject:[/b] [size=85]<Answer Here>[/size]
[b]2.1.2 Qualification:[/b] [size=85]<Answer Here>[/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][size=85]No[/size]
[b]3.2.1 If yes, has your license ever been revoked in the past 5 years?:[/b][size=85]No[/size]

[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][size=85]No[/size]
[b]3.3.2 If yes, please explain:[/b][size=85]N/A[/size][/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][/b][size=85]No[/size]
[b]4.1.2 Do you have a previous employment background in any Medical Agency or Fire Department?:[/b][/b][size=85]No.[/size][/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]N/A[/size]
[b]4.2.2 Period of Employment:[/b] [size=85]N/A[/size]
[b]4.2.2 Involvement of the Job:[/b] [size=85]N/A[/size][/list]

[list][b]4.2.1 Name of Company:[/b] [size=85]N/A[/size]
[b]4.2.2 Period of Employment:[/b] [size=85]N/A[/size]
[b]4.2.2 Involvement of the Job:[/b] [size=85]N/A[/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]Awhile back, when I was first moving into the Los Santos area, I met a single EMT. I met him a day after I was run over and shot in the middle of a drive by, and I was very close to dying, and, though I didn't, the man who saved my life was so caring, kind, and respectful, I knew I wanted to pursue a career in this one day. This is back when I first arrived in Los Santos, so I needed to sort my life out before actually was able to apply, but, I now know this is what I want to do, without a single doubt. I was for a short time thinking about joining the LSPD, but then I realized, I wanted to save lives instead of taking them. Every morning I wake up and go out to Los Santos, I see somebody getting shot, killed, ran over, or something like that, and all I can do is stand to the side and watch. I really wanted to be able to help the citizens of Los Santos, and be able to make an impact on their lives here I really believe helping people are the keys to success. I know I can make an difference, you've just gotta give me a chance..[/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]Hardowork and Determination. No matter how hard to challenge may be, I'll work to overcome it, no matter it. I will achieve whatever you set me out to do, and once I do it, I'll keep at it until it's done, and I WILL meet, exceed, and surpass all of your expectations. I will take on any and all roles of leadership, and always work towards any opportunity given to me.[/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):[size=85]My character. Just who I am. I'm a hard working, honest, good individual. I know I'll always put others before myself, and I'll work twice as hard as anyone else if given the opportunity. I know I work hard, and I know I have what it takes, and I know given the chance, I'll prove myself. I'll go through my all through the training, and when I got sent out to the field, I'll be out there saving lives on a daily basis, and I'll give it one-hundred and ten percent to make Los Santos a safer community, where less lives have to end![/size][/b][/list]


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

[quote]
[i][size=90]I, Zeek Nguyen, 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]15/11/2016[/i]
      [b]Applicant's Signature:[/b] [i]Zeek Nguyen[/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]7[/size]
    [b]7.2 Member of LSRP since:[/b] [size=85]2015[/size]
    [b]7.3 Geographical location? (Country):[/b] [size=85]California[/size]


    [b]7.4 Why do you wish to join the LSFD? Effort please(at least 100 words):[/b] [size=85]Well, it's always looked sort've fun. I wanted to have a fun time in roleplaying, and I wanted to experience this side of LSRP. I was an HM (Health Services Technician) in the Coast Guard for 4 years in real life, and have a lot of medical experience, and play this game to have fun, and feel the transition would be easy. I feel like I could have a lot of fun roleplaying here, and if given the chance, I could definitely go a  long way with this, but if I'm not given the chance, then you'll be missing out on your chance to let me show you what I've got. You miss hundred percent of the shots you never take.[/size]

    [b]7.5 What kind of activity can we expect?:[/b][size=85]20+ Hours Weekly.[/size]

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

    [b]7.7 Do you possess any real life experience, training or certifications relating to Medical work or Firefighting?:[/b] [size=85]USCG, Certified Firefighter, and CPR.[/size]

    [b]7.8 Have you ever applied to the Fire Department before? If so, why did you (have to) reapply?:[/b] [size=85]Yes, my internet went down, so while it was pending, I failed to respond within the proper time frame.[/size]

    [b]7.9 List any and [u]all[/u] alternative accounts including levels:[/b] [size=85]N/A.[/size]

    [b]7.10 Have you ever been a part of another official faction?:[/b] [size=85]No.[/size]
    [b]7.10.1 If yes to 6.13.1. please list the faction(s) and the names:[/b][size=85]N/A[/size]
    [b]7.10.3 Are you currently banned from PD/SD/SADOC/GOV?:[/b][size=85]No[/size]

    [b]7.11 Do you belong to another official faction?:[/b][size=85]No[/size]
    [b]7.11.1 If yes, please post a link to your double faction approval:[/b][size=85]N/A[/size]

    [b]7.12 Post a screenshot of an unedited version of your admin record for ALL of your characters:[/b]
    [spoiler]https://gyazo.com/90974f65d8d20a38799d6e7e5119b099[/spoiler]

    [b]7.13 LS-RP Forum account:[/b][size=85]Zeek49[/size]
    [b]7.14 LS-RP Forum account verification:[/b][size=85]http://forum.ls-rp.com/viewtopic.php?f=130&t=510847&p=7454175#p7454175[/size]


     [b]7.15 Please provide the link to your Read and Understood topic located in LSFD Requirements topic.:[/b][size=85]http://ems.lsgov.us/forum/viewtopic.php?f=1044&t=69447[/size][/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][/divbox]