Application for Civilian Employment
Section 1 - Personal Information
1.1 Title: Ms
1.2 First name: Arianna
1.3 Last name: DeRose
1.4 Date of Birth: 12/21/1994
1.5 Contact Number: 41663239
1.6 Email Address: [email protected]
1.7 Place of Birth: Milano, Italy
1.8 Residential Address: 2003 San Andreas Blvd - Floor 4, Room 3
1.9 Height(ft/in): 167CM
1.10 Weight(lb): 58KG
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, I am perfectly healthy.
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)
[ ] Right-handed
[ ] Left-handed
[x] 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: Southlands International School
2.1.2 Year of Graduation: 2011
2.2 College/University History
2.2.1 Name of College/University:
2.2.2 Qualification:
2.2.3 Year of Graduation:
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: Spent time being deployed with Doctors without Borders a few years back.
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: Syndicate Motorsports
3.4a.2 Period of Employment: (27/03/2022 to Still Employed
3.4a.3 Position: Head of Media and PR for the team.
3.4a.4 Reason for dismissal: N/A
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
((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: Yes.
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: 06/04/2022
SIGNATURE: A. DeRose
(( Section 6 - OOC Section ))
6.1 Forum name: AgentQ
6.2 Age: 27
6.3 Geographical location: Denmark
6.4 Timezone: GMT+2
6.5 Character ID: https://i.imgur.com/fTI7fqX.png
6.6 Discord ID: AgentQ#0768
6.7 How long have you been on GTAW? Since 08/29/2021
6.8 How long have you been roleplaying in total? Been RPing for over 6-7 years counting other servers as well.
6.9 How active do you plan to be if invited to the LSFD? As active as I can be.
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: Yes, I have been doing PR and hosting all kinds of different events for other servers the past 6ish years, and I have been within the medical/FD RP scene for about 2-3 years. - I managed to sustain the rank of a Lieutenant in the fire department on a previous server. And I ran the hospital faction on a previous server as well.
6.11 Can you communicate effectively in English? Yes.
6.12 Additional languages: Danish
6.13 Have you ever been in another official faction? If yes, list them and their ranks:
Answer: On GTAW: Los Santos Government: Chief of Staff(GOP)
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: Arianna DeRose, Tallulah Blake.
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 https://i.imgur.com/BhsvJ7r.png
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: *ARIANNA DEROSE arrives at the LSFD Rockford Headquarters on 06/04/2022 to get a drug test taken.*
- 6.21.1 Drug Test Result: Negative