FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Anastasia Hawthorne
B. Date of Birth: 14/FEB/1994
C. Gender: Female
D. Weight (lbs): 160 lbs
E. Height (ft' in''): 5' 10''
F. E-mail Address: [email protected]
G. Domestic Address: 415 Winona Avenue, Idlewood, Los Santos 415, San Andreas.
H. Phone Number: 2326439
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/A
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?: Yes I have a Doctorate in Phycology from Harvard University.
B. Have you completed any form of education beyond the above? If so, specify: No.
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: Psychiatrist.
Name of Employer: Ascension Seton Medical Center, Austin, Texas.
Duration of Employment: 01/MAR/2018 - 12/NOV/2024
- Nature of Employment: Psychiatrist.
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Anastasia Genevieve Hawthorne, 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: Algeria
B. Timezone: GMT+1
C. Names of all LS-RP Forum Accounts: JustSid
D. Link to forum profile(s): https://community.ls-rp.com/profile/15090-justsid/
E. Current character names and levels:- Christopher Stolz - Level 16
- Hosea Halliday - Level 7
- N/A
H. Are you currently in an official faction? If yes, provide the name: I'm Currently in the Los Santos City Government as Hosea Halliday.
I. If you answered yes to the above, provide proof of Double Faction Permission: https://city.lsgov.us/viewtopic.php?p=4327#p4327
J. List all official factions you have previously been in:- N/A
L. Chosen Platform: SAMP