LOS SANTOS
FIRE DEPARTMENT
FIRE DEPARTMENT
FIRE CHIEF
Kaitlyn Myers
Los Santos Fire Headquarters
1282 Sunset Avenue
Downtown Los Santos
Los Santos 206
1282 Sunset Avenue
Downtown Los Santos
Los Santos 206
FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Reginald Harris
B. Date of Birth: 12/DEC/1993
C. Gender: Male
D. Weight (lbs): 206 lbs
E. Height (ft' in''): 6'2
F. E-mail Address: [email protected]
G. Domestic Address: 42 Westmont Ave, Los Santos, San Andreas
H. Phone Number: 1035838
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?: I am a High School graduate, of LS High.
B. Have you completed any form of education beyond the above? If so, specify: Yes, I have an Associates Degree in Fire Science.
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: Dispatcher
Name of Employer: Safeflight Alarm Company
Duration of Employment: 15/JAN/2017 - Present
- Nature of Employment: Dispatcher
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Reginald Harris, 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: USA
B. Timezone: -5
C. Names of all LS-RP Forum Accounts: RadioKilla
D. Link to forum profile(s): Answer
E. Current character names and levels:- Michael Ornelas - 42
- Carmine Torciano - 14
- Reginald Harris - 4
- Malcolm Harris - EMS
- Michael Sawyer - SD
- Quincy Coltrane - Uptown 424 Kilo Block
- Manual Suarez/Elijah Suarez - BPL
- Malcolm King - LSFD
- William Santana - Kilo Block
H. Are you currently in an official faction? If yes, provide the name: Yes, LSSD.
I. If you answered yes to the above, provide proof of Double Faction Permission: Answer
J. List all official factions you have previously been in:- EMS - 09
- SD - 09
- Uptown 424 Kilo Block - 2009-2013
- LSFD - 2011
- BPL - 2011
- LSPD - 2014
- LSSD - 2024
L. Chosen Platform: SAMP
