
LOS SANTOS FIRE DEPARTMENT TRAINING AND RECRUITMENT | APPLICATION
Section 1. Personal Information
1.1 FULL LEGAL NAME (FIRST MIDDLE LAST)
- Lana Harper
- April 12, 2002
- 23 Pink Cage Motel, Los Santos, San Andreas
- 96015679
- [—] Male
[X] Female
[—] Non-Binary
- [X] Caucasian
[—] Black or African American
[—] Hispanic or Latino
[—] American Indian or Alaska Native
[—] Asian
[—] Flippino American
[—] Native Hawaiian or Other Pacific Islander
[—] Other
- [—] Civilian Role
[X] Firefighter/EMT
[—] Volunteer Firefighter/EMT
[—] EMT
[—] Volunteer EMT
- 1.9.1 Physical Agility Test Results
- [X] Pass
[—] Fail
- [X] Negative
[—] Positive
- [X] Pass
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Section 2. Education and Employment
2.1 LEVEL OF EDUCATION
- [—] General Educational Development
[X] High School Diploma
[—] Associate's Degree
[—] Bachelor's Degree
[—] Master's Degree
[—] Doctorate
- School Name: West Vinewood High School
Graduation Date: 18/JUN/2019
Course of Study: High School Diploma
- Company/Agency Name: Joe's Hoagies
Position: Line Worker
Employment Term: 23/NOV/2019 - CURRENT
Reason for Dismissal/Resignation: Currently Employed
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Section 3. Background Questionairre
3.1 DO YOU HOLD A VALID SAN ANDREAS DRIVERS LICENSE?
3.5 I HAVE A CRIMINAL RECORD
- [X] Yes
[--] No
- [X] Yes
[—] No
- [—] N/A
- [—] Yes, I am active duty military.
[—] Yes, I have formerly served in the military.
[X] No
3.4.1 IF YES, PLEASE PREPARE A COPY OF YOUR DD214 TO ATTACH TO YOUR APPLICATION
.3.5 I HAVE A CRIMINAL RECORD
- [X] No, I don't have any infractions, misdemeanors or felonies in San Andreas and/or another state.
[—] Yes, I have been charged with a misdemeanor in San Andreas and/or another state which has been upheld in Court.
[—] Yes, I have been charged with a felony in San Andreas and/or another state which has been upheld in Court.
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Section 4. Declaration & Acknowledgement
.
By submitting this application, I, the applicant, 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. In the event of employment, it is further acknowledged that I may not exercise any medical practices or techniques that were not taught in academic sessions, for it would be a practice of illegitimate medical practice 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.
.4.1 SIGNATURE
- L. Harper
- September 5th, 2023
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Section 5. ((OUT OF CHARACTER QUESTIONS))
5.1 DISCORD ID
- scutey
- (Current) Britney Gaia, Ximena Navarro - Los Santos County Sheriff's Department
- I was previously removed from the LSSD for out of character reasons at the beginning of 2022. I would be happy to explain the circumstance to training staff if needed, however, I have since made amends with the faction and rejoined in December of 2022.
STOP — END OF APPLICATION