FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Samuel Hebert
B. Date of Birth: 20/FEV/2001
C. Gender: Male
D. Weight (lbs): 190lbs
E. Height (ft' in''): 6'2"
F. E-mail Address: [email protected]
G. Domestic Address: 1700 Victoria Street, Glen Park, Los Santos
H. Phone Number: 1487380
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 from Hershey High School (Hershey, Pennsylvania).
B. Have you completed any form of education beyond the above? If so, specify: Yes. Bachelor of Science in Kinesiology.
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: Full-time
Name of Employer: Dunkin' Donuts
Duration of Employment: 05/10/2023 - 01/12/2024
- Nature of Employment: Full-time
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Samuel Hebert, 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: Brazil
B. Timezone: GMT -3
C. Names of all LS-RP Forum Accounts: Magnus
D. Link to forum profile(s): https://community.ls-rp.com/profile/10835-magnus/
E. Current character names and levels:- Samuel Hebert - 11
- Deandre Blackwood - 4
- William Vega - 5
- Ryan Brennan - 4
- Samuel Warwick
H. Are you currently in an official faction? If yes, provide the name: No
I. If you answered yes to the above, provide proof of Double Faction Permission:
J. List all official factions you have previously been in:- Los Santos Fire Department
L. Chosen Platform: SAMP