FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Nick Lafleur
B. Date of Birth: 04/02/1995
C. Gender: Male
D. Weight (lbs): 190lbs
E. Height (ft' in''): 6'0''.
F. E-mail Address: [email protected]
G. Domestic Address: Sandy Shores, San Andreas; Vespucci, Los Santos (primary)
H. Phone Number:
I. Are you a citizen of the United States?: True
J. Do you possess a drivers license within the State of San Andreas?: True
K. Do you possess any form of a firearms license within the State of San Andreas?:False
L. Do you have any history of civil infractions (including traffic)?: False
M. If you answered yes to the above, specify:
N. Do you have any criminal convictions? If so, specify: False
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?: Class of 2013, Davis District Highschool.
B. Have you completed any form of education beyond the above? If so, specify: PAR2 - Paramedic; completed at West Shore EMT College
C. Have you previously submitted an application for a position within the Los Santos Fire Department?: False
D. Have you previously been employed by the Los Santos Fire Department?: False
E. Have you previously been employed by any government agency? If so, specify: False
F. List any previous employment:- Nature of Employment: HVAC Specialist
Name of Employer: Simmons HVAC and Ventilation
Duration of Employment: 03/06/2015 - 21/05/2021
- Nature of Employment: HVAC Specialist
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Nick Lafleur, 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: CANADA
B. Timezone: EST - TORONTO
C. Names of all LS-RP Forum Accounts: locced
D. Link to forum verification: Verification
E. Current character names and levels:- Nick Lafleur - 0
- Not available
I. If you answered yes to the above, provide proof of Double Faction Permission:
J. List all official factions you have previously been in: