Application for Civilian Employment
Section 1 - Personal Information
1.1 Title: Miss
1.2 First name: Zofia
1.3 Last name: Czerwinska
1.4 Date of Birth: 02/02/2001
1.5 Contact Number: 6156981
1.6 Email Address: [email protected]
1.7 Place of Birth: Seattle
1.8 Residential Address: Sandcastle Way, Crown Jewels Motel, Room 5
1.9 Height(ft/in): 5'1"
1.10 Weight(lb): 105 lbs.
1.11 Name the division that you are applying for: (Mark with X)
[ ] Support Services
[X] Public Relations
[ ] Training and Recruitment
1.12 Name of the position you are applying for: (Mark with X)
[ ] Support Services - Mechanic
[ ] Support Services - Technician
[X] Public Relations - Member
[ ] Public Relations - Supervisor
[ ] Training and Recruitment - Civilian Recruitment Staff
1.13 Do you have impairments or deficiencies? If yes, explain in detail:
Answer: No.
1.14 Do you have a medical record? If so, elaborate:
Answer: No.
1.15 Do you have any medical conditions that could hinder your duties as an LSFD employee?
Answer: No.
1.16 Are you right-handed, left-handed, or ambidextrous? (Mark with X)
[X] Right-handed
[ ] Left-handed
[ ] Ambidextrous
1.17 Have you applied for the LSFD in any capacity within the last month? If yes, please state which position you applied for. (LSFD Career | Volunteer | Civilian Staff | LS Lifeguards)
[ ] Yes
[X] No
Section 2 - Education
2.1 High School History
2.1.1 Name of High School: Los Santos High
2.1.2 Year of Graduation: 2018
2.2 College/University History
2.2.1 Name of College/University: Los Santos Community College
2.2.2 Qualification: Journalism
2.2.3 Year of Graduation: 2022
Section 3 - Previous Employment
3.1 Have you ever worked for any Government Agency before? If yes, which one?
Answer: No.
3.2 Do you have any experience or previous employment history with any Medical/Rescue/Fire Agency?
Answer: I've made a couple of articles about the LSFD for my previous employer.
3.3 Do you have a history of Military Service? If so, elaborate:
Answer: No.
3.4 List all previous employment below: (Use "N/A" for the remaining templates if not applicable.)
3.4a.1 Name of Company/Employer: Weasel News
3.4a.2 Period of Employment: 01/06/2018 to 15/02/2020
3.4a.3 Position: Junior Journalist
3.4a.4 Reason for dismissal: Weasel News bankruptcy
3.4b.1 Name of Company/Employer: Icecream Fun Factory
3.4b.2 Period of Employment: 05/06/2016 to 02/09/2016
3.4b.3 Position: Vacation Employee
3.4b.4 Reason for dismissal: Summer ended
((If neccesary at this point, please add more fields to the above. It is important to list the whole working history of your character. If you fail to do so, your character may be declined))
3.5 Do you have any experience or previous employment history in the field that you are applying for? If so, elaborate:
Answer: I've worked as a junior journalist for Weasel News previously. I was both working and being an intern, because I followed classes alongside this job.
Section 4 - Licenses, Permits and Background
4.1 Do you possess a valid driver's license?
[X] Yes
[ ] No
4.2 Do you possess a valid aviation license?
[ ] Yes
[X] No
4.3 Do you possess a valid personal firearms permit?
[ ] Yes
[X] No
4.4 Are you a lawful citizen of the state of San Andreas?
[X] Yes
[ ] No
Section 5 - Declaration & Statement
By submitting this application, I, signed below, hereby certify that all questions contained in this document were met with truthful statements. I fully authorize the investigation of any content shared on this document. I am aware that lying, omitting, plagiarizing, or maliciously adulterating this application will result in immediate denial and an indefinite ban from future recruitment drives. I hereby declare that I understand that the Los Santos Fire Department's acting High Command may discharge me at will with or without cause and that I may resign from the department at any time. I acknowledge the fact that I must participate in private training sessions and inductions to fully conduct the scope of practice the employment allows me to perform. In the event of employment, it is further acknowledged that I may not exercise any medical or firefighting practices or techniques that were not taught in training, if it is legally proven that I have done so, I agree and understand that it may be used against me, as well as face dishonorable discharge and possible criminal charges.
Date: 08/05/2022
SIGNATURE: Zofia Czerwinska
(( Section 6 - OOC Section ))
6.1 Forum name: Cookiejar
6.2 Age: 24
6.3 Geographical location: Europe
6.4 Timezone: Amsterdam / Berlin - GMT +2
6.5 Character ID: 4706
6.6 Discord ID: Cookiejar#5081
6.7 How long have you been on GTAW? On and off since 2018.
6.8 How long have you been roleplaying in total? Since 2014.
6.9 How active do you plan to be if invited to the LSFD? Around 6 hours a week, give or take. I've got a RL job in a hospital, so sometimes RL can be overwhelming and I won't have time to log on everyday.
6.10 Do you have any previous real-life (or from other RP servers) experience for the position you are applying for? If yes, elaborate:
Answer: No, all journalism related experience is from this server and from RP.
6.11 Can you communicate effectively in English? In text, yes.
6.12 Additional languages: Dutch.
6.13 Have you ever been in another official faction? If yes, list them and their ranks:
Answer: Yes, Weasel News, Junior Journalist.
6.14 If currently in another official faction please request double faction permission here and post proof below.
Answer: Access | Access
6.15 Are you currently banned from any faction? If yes, elaborate:
Answer: No.
6.16 Please list all your characters, including characters from alternative accounts:
Answer: Jade Brooks.
6.17 Applicant agreement to have read and understood at minimum, section 1 of Requirement and Regulations found here:
[X] Yes
[ ] No
6.18 Post an unedited screenshot of your administrative record for your account :
Link(s): Access
6.19 Generate an URL from your character stats on the UCP, provide the given URL below
Answer: Access
6.20 Write your character's background story 6.21 Drug Test: *ZOFIA CZERWINSKA arrives at the LSFD Rockford Headquarters on 08/08/2022 to get a drug test taken.*
- 6.21.1 Drug Test Result: Negative