[SAMS Application] David Rock [Accepted]

[David Rock]

San Andreas Emergency Medical Services
SAEMS Application
"TO PROTECT AND TO SERVE"

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: David
Last Name: Rock

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 35
Date of Birth: 1986-05-27
Place of Birth (City, State/Province, Country): Chicago, IL

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 252-6276
Residence Address:
N/A

2.0 PAST EMPLOYMENT AND REFERENCES

2.1 What position are you applying for?
Paramedic

2.2 Do you have any experience in the position you are applying for?
I was in fire department. We did all kind of calls.

2.3 Do you have any first aid or medical certifications?
NO

2.4 Can you speak to others in English proficiently?:
Yes

2.5 Can you write to others in English proficiently?:
Yes

2.6 List previous medical employment:
SSFD Fire Chief Aug 2021, LSFD as Paramedic, sep 2021

2.7 List any Los Santos Emergency Services References you may have:
none

3.0 LICENSES AND CRIMINAL HISTORIES

3.1 Are you certified to use a taser? No
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
none

3.2 Do you have a Pilot License? No
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
none

3.3 Do you possess a valid driver's license in the State of San Andreas?
Yes

3.4 Do you possess a valid firearm's license?
Yes

3.5 Have you ever been issued a citation? No
If yes, please explain:



3.6 Have you ever been charged with a misdemeanor? No
If yes, please explain:



3.7 Have you ever been arrested and/or convicted of a felony? No
If yes, please explain:

4.0 GENERAL QUESTIONS

4.1 Describe what you could bring to the San Andreas Medical Services team? (minimum of 50 words):

My motivation to work in the team to help people. I really believe that this is the key to have team working on highest possible level. When you are coming to work like this you need to be happy that you are there to help people. I have also experience coming from my previous jobs in Fire Departament as Fire chief in Sandy and as Paramedic in the city.

4.2 hat inspired you to apply for the San Andreas Medical Services team? (minimum of 50 words):

I always wanted to help and i know already so much about it that there is no other option for me to continue to do what i`m good at. I really like working for Fire Departament and helping people when they are in distress.

(( 5.0 OUT-OF-CHARACTER INFORMATION AND QUESTIONS ))

5.1 About you:
Name/Nickname: assassin1944
Gender: Male
Age: 35
Country: Poland/Nederlands
Timezone: CET
Discord name and ID: assassin1944#1136

5.2 Have you ever been in the SAENS faction before? (applies to any character):
Yes

5.3 Please list any other characters you have on StoryRP, including their profession or side gigs:
Kris Kazinski LSPD Cadet at the moment, Dimitri Konowalov New at the moment connected to some guys in green jackets

5.4 List all the factions you are currently a part of (type N/A if none):
LSPD, CIV towards crime

5.5 Do you have any administrative punishments on your record?:
No

If yes, please explain:



5.6 Are you involved, and/or currently play on any other GTA-RP servers?:
No

5.6.1 If yes to 5.6, are you involved in any factions there?:
No

If yes, please explain:

6.0 RELEASE AND WAIVER

I, David Rock, hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify my application and could result in immediate termination.
San Andres Medical Services provides training for all applicants regardless of previous experience. I agree that I may be subject to cross-training in the event of a city wide emergency. By submitting this document, I agree to adhere to all San Andres Medical Services protocols and procedures.

---

By submitting this document, I agree to perform to the best of my ability where needed, without prejudice or malice. I agree to follow HIPAA laws, and any information obtained during the probationary period is protected through HIPAA. I understand that San Andreas Medical Services and the State of California reserve the right to pursue legal action if found to have violated information during my employment with San Andreas Medical Services.

[Kate Watchel]

Hello Mr. Rock,

After thorough consideration, I am pleased to announce that you have passed the initial stage of our application process. In order to proceed, I would like to invite you for an in person interview at Pillbox Medical Center at your earliest convenience. Please contact myself via email (Ryschnides#4274) to set up a date and time. Congratulations, I look forward to hearing from you.


Dr. Kate Watchel, MD
Medical Director, San Andreas EMS