Application for Los Santos County Lifeguards
Section 1 - Personal Information
1.1 Title: Mr
1.2 First name: Samuel
1.3 Last name: Wells
1.4 Date of Birth: 21/05/2000
1.5 Contact Number: 4957771
1.6 Email Address: [email protected]
1.7 Place of Birth: Rockford Hills, Los Santos
1.8 Residential Address: 2831 High Street, Rockford Hills, Los Santos. ((Fictional))
1.9 Height: 5'10"
1.10 Weight: 182lbs
1.11 Do you have impairments or deficiencies? If yes, explain in detail:
Answer: No.
1.12 Do you have a medical record? If so, elaborate:
Answer: Appendectomy in 2013 for appendicitis.
1.13 Do you have any medical conditions that could hinder your duties as a Lifeguard?
Answer: No.
1.14 Are you right-handed, left-handed or ambidextrous? (Mark with X)
[ ] Right-handed
[x] Left-handed
[ ] Ambidextrous
1.15 Why would you like to become a Lifeguard?
Answer: I have lived in the region for most of my life. I've recently had an 'awakening' moment that I need to do something valuable with my time and contribute something to society. I believe this would be a great stepping stone to join the LSFD in an EMS capacity as I have a newfound dream of providing medical care in the setting of emergency first response.
1.16 What qualifications or skills can you bring to the division?
Answer: Certified in CPR and first aid from prior work as an electrician apprentice.
Section 2 - Education
2.1 Educational History
2.1.1 Name of High School: Los Santos High School
2.1.2 Year of Graduation: 2018
2.2 Name of College/University: N/A
2.2.1 Qualification: N/A
2.2.2 Year of Graduation: N/A
Section 3 - Previous and Current Employment
3.1 Have you applied for the LSFD in any capacity within the last month? If yes, state which position you applied for. (LSFD Career | Volunteer | Civilian Staff | Lifeguard)
Answer: No.
3.2 Have you ever worked for any Government Agency before? If yes, which one?
Answer: No.
3.3 Do you have any experience or previous employment history with any Medical/Rescue/Fire Agency?
Answer: No.
3.4 Do you have a history in Military Service? If so, elaborate:
Answer: No.
3.5 List any previous and current employments below: (Use "N/A" for the remaining templates if necessary)
3.5a.1 Name of Company/Employer: Wells Electrical LTD
3.5a.2 Period of Employment: 08/05/2018 to 04/23/2020.
3.5a.3 Position: Electrician Apprentice
3.5a.4 Reason for dismissal: Resigned for personal reasons.
3.5b.1 Name of Company/Employer: N/A
3.5b.2 Period of Employment: N/A
3.5b.3 Position: N/A
3.5b.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 Do you possess a valid personal firearms permit?
[ ] Yes
[X] No
4.4 Have you ever been convicted of a crime? If yes, elaborate:
Answer: No.
(( Section 5 - OOC Section ))
5.1 Forum name: Sam
5.2 Age: 22
5.3 Geographical location: New Zealand
5.4 Timezone: GMT+12:00
5.5 Character ID: 29794
5.6 Discord ID: Name#0000
5.7 How long have you been on GTAW?: 3 years I believe but inactive for a majority of that time.
5.8 How long have you been roleplaying in total?: Since 2013.
5.9 How active do you plan to be if invited to the Lifeguards? It will be my main character.
5.10 Do you have any previous real-life (or from other RP servers) experience with medical work and rescue? If yes, elaborate:
Answer: I am a first responder for Wellington Free Ambulance in New Zealand. I am less than a semester away from graduating with a Bachelor of Health Science majoring in Paramedicine. I've obtained a fair bit of experience in the pre-hospital emergency care setting IRL.
5.11 Can you communicate effectively in English? Yes.
5.12 Additional languages: None.
5.13 Have you ever been in another official faction? If yes, list them and their ranks:
Answer: N/A
5.14 If currently in another official faction please request double faction permission here and post proof below.
Answer: N/A
5.15 Are you currently banned from LSPD/GOV? If yes, elaborate:
Answer: No.
5.16 Post a screenshot of your administrative record for every character that you have:
Link(s): https://i.imgur.com/djOGA4m.png
5.17 Generate an URL from your character stats on the UCP, provide the given URL below
Answer: Access
5.18 Write your character's background story(Minimum of 200 words)
5.19 Additional notes:
Answer: Thanks for reading