Application for Civilian Employment
Section 1 - Personal Information
1.1 Title: Miss
1.2 First name: Kumiko
1.3 Middle name: N/A
1.4 Last name: Aoyama
1.5 Date of Birth: 12/06/1995
1.6 Contact Number: 13000653
1.7 Email Address: [email protected]
1.8 Place of Birth: Shiyuba, Tokyo - Japan
1.9 Residential Address: 3352 South Rockford Drive, Los Santos
1.10 Height: 1.60m
1.11 Weight: 42kg
1.12 Do you have impairments or deficiencies? If yes, explain in detail:
Answer: Bad eyesight, wearing glasses
1.13 Do you have a medical record? If so, elaborate:
Answer: Negative.
1.14 Do you have any medical conditions that could hinder your duties as an LSFD employee?
Answer: Negative.
1.15 Are you right-handed, left-handed or ambidextrous? (Mark with X)
[x] Right-handed
[ ] Left-handed
[ ] Ambidextrous
1.16 Which position are you applying for?
Answer: Civilian Recruitment Staff
1.17 Do you have any previous experience in the field in which you are applying to?
Answer: Negative.
1.18 What qualifications or skills can you bring to the department in your chosen position?
Answer: 2 year work experience in the logistic industry as management. Managing the logistic and employees.
Section 2 - Education
2.1 Educational History
2.1.1 Name of High School: Jissen Joshi Gakuen Junior and Senior High School
2.1.2 Year of Graduation: 2013
2.2 Name of College/University: University of Los Santos
2.2.1 Qualification: Business Administration(B.A.)
2.2.2 Year of Graduation: 2017
Section 3 - Previous Employment
3.1 Have you ever worked for any Government Agency before? If yes, which one?
Answer: Negative.
3.2 Do you have any experience or previous employment history with any Medical/Rescue/Fire Agency?
Answer: Negative.
3.3 Do you have a history in Military Service? If so, elaborate:
Answer: Negative.
3.4 List any previous employments below: (Use "N/A" for the remaining templates if necessary)
3.4a.1 Name of Company/Employer: Yusen Logistics
3.4a.2 Period of Employment: 01/10/2017 to 30/11/2019
3.4a.3 Position: Logistic Manager
3.4a.4 Reason for dismissal: Bankruptcy of the parent company and therfore also Yusen Logistics as subsidiary company
3.4b.1 Name of Company/Employer: N/A
3.4b.2 Period of Employment: N/A
3.4b.3 Position: N/A
3.4b.4 Reason for dismissal: N/A
Section 4 - Licenses, Permits and Background
4.1 Do you possess a valid driver's license?
[x] Yes
[ ] No
4.2 Are you a lawful citizen of the state of San Andreas?
[x] Yes
[ ] No
4.3 Have you ever been convicted of a crime? If yes, elaborate:
Answer: Negative.
(( Section 5 - OOC Section ))
5.1 Forum name: LyseMid
5.2 Age: 22
5.3 Geographical location: Germany
5.4 Timezone: UTC+2
5.5 Character ID: 25063
5.6 Discord ID: LyseMid#9027
5.7 How long have you been on GTAW?: Over a year, can't say exactly
5.8 How long have you been roleplaying in total?: Since 2017 I have been doing GTA Roleplay. Voice RP pre GTA:W
5.9 How active do you plan to be if invited to the LSFD? I plan to use most of my IC time for the LSFD job.
5.10 Additional languages: German
5.11 Have you ever been in another official faction? If yes, list them and their ranks:
Answer: Negative.
5.12 Are you currently banned from LSPD/GOV? If yes, elaborate:
Answer: Negative.
5.13 Post a screenshot of your administrative record for every character that you have:
Link(s): https://gyazo.com/759b1392effa6c46ba76151472419460
5.14 Additional notes:
Answer: Nothing to add.
