FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Charlise Justice
B. Date of Birth: 21/SEP/2004
C. Gender: Female
D. Weight (lbs): 132 lbs
E. Height (ft' in''): 5' 6"
F. E-mail Address: [email protected]
G. Domestic Address: 800 Rodeo Boulevard, Marina, Los Santos 313, San Andreas
H. Phone Number: 1120864
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?: High School Graduate: Wausau East High School (Wausau, Wisconsin)
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: Hospice Volonteer
Name of Employer: Interim Hospice
Duration of Employment: 26/AUG/2023 - 15/DEC/2023
Nature of Employment: Cashier
Name of Employer: The Home Depot
Duration of Employment: 20/JAN/2024 - 01/DEC/2024
Nature of Employment: Photographer (Part-time)
Name of Employer: VellerieLens
Duration of Employment: 03/FEB/2025 - Present
- Nature of Employment: Hospice Volonteer
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Charlise Justice, 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: Russia
B. Timezone: GMT +3
C. Names of all LS-RP Forum Accounts: JVent
D. Link to forum profile(s): https://community.ls-rp.com/profile/19110-jvent/
E. Current character names and levels:- Charlise Justice - 3
- Nikolay Belov - 33
- Anthony Redwood
- Jimmy Vance
- Jimmy Ventura
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: N/A
J. List all official factions you have previously been in:- LSEMS
- LSFD
- Egorovskaya OPG
L. Chosen Platform: SAMP