FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Zoe Storm
B. Date of Birth: 19/SEP/1994
C. Gender: Female
D. Weight (lbs): 132
E. Height (ft' in''): 5’ 6.9”
F. E-mail Address: [email protected]
G. Domestic Address: 1169 Market Street, Rodeo, Los Santos 802, San Andreas
H. Phone Number: 69069
I. Are you a citizen of the United States?: Yes
J. Do you possess a drivers license within the State of San Andreas?: Yes
K. Do you possess any form of a firearms license within the State of San Andreas?: No
L. Do you have any history of civil infractions (including traffic)?: No
M. If you answered yes to the above, specify: -
N. Do you have any criminal convictions? If so, specify: No
II — APPLICANT BACKGROUND AND EDUCATION
A. Are you a High School Graduate, or do you possess a G.E.D? Where did you receive this education?: High School Graduate, Los Santos High School
B. Have you completed any form of education beyond the above? If so, specify: Bay Area Training Academy, EMT - course 14275 Wicks Blvd #5613, San Leandro, CA 94577, United States
C. Have you previously submitted an application for a position within the Los Santos Fire Department?: No
D. Have you previously been employed by the Los Santos Fire Department?: No
E. Have you previously been employed by any government agency? If so, specify: No
F. List any previous employment:- Nature of Employment: Internet financial services
Name of Employer: Self-employed
Duration of Employment: 2012 - currently
- Nature of Employment: Internet financial services
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Zoe Storm, certify that the information provided in this application is factual at the time of submission. By submitting this application, I authorize the Los Santos Fire Department and any relevant employee authorized by them to conduct a thorough investigation on me, which may involve accessing relevant government records. I understand that should any information be deemed untruthful, I may face civil or criminal penalties. I also acknowledge that I have read all information provided to me and have put full effort into the submission and compilation of this application.
(( IV — OUT-OF-CHARACTER INFORMATION ))
A. Country: Poland
B. Timezone: GMT+1
C. Names of all LS-RP Forum Accounts: AbNox(?)/LiveTrue
D. Link to forum profile(s): https://community.ls-rp.com/profile/10140-livetrue/
E. Current character names and levels:- Character Name - Zoe Storm - will namechange Icarus Storm lvl 40
- Character Name - Simon Steppin (SAMP)
- Character Name – Simon Storm (SAMP)
- Character Name – Ayuki Kajitsu (SAMP)
- Character Name – Isaiah Chambers(SAMP)
- Character Name – Qaletaqa Nakai (SAMP)
- Character Name – Isidor Storm (SAMP)
- Character Name – Icarus Storm (SAMP)
- Character Name – Vicky Gale (GTA V)
H. Are you currently in an official faction? If yes, provide the name: -
I. If you answered yes to the above, provide proof of Double Faction Permission: -
J. List all official factions you have previously been in:- Faction Name – SAN (Network Anchor)
- Faction Name – Government Security Agency (Director)
- Faction Name – Department Of Corrections (Sergeant)
- Faction Name – Los Santos County Sheriff’s Department (Sergeant)
- Faction Name – Los Santos Police Department (Detective I)
- Faction Name – Los Santos Fire Department (Engineer)
L. Chosen Platform: SAMP