[SAMS Application] Lucy Gray [Interview]

[JayKorpi]

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Lucy
Last Name: Gray

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 22
Date of Birth: 1999-09-15
Place of Birth (City, State/Province, Country): New York City

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 315-7517

2.0 PAST EMPLOYMENT AND REFERENCES

2.1 What position are you applying for?
EMT

2.2 Do you have any experience in the position you are applying for?
A little, I've been an ems for a very short time, But I've learned a lot from what they taught me.

2.3 Do you have any first aid or medical certifications?
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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:
{textarea-1630338561304}

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? {select-1630338472567}
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
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3.2 Do you have a Pilot License? {select-1630338306527}
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
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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?
{input_weapon}

3.5 Have you ever been issued a citation? {input_cited}
If yes, please explain:
{input_citedreason}


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


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

4.0 GENERAL QUESTIONS

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

I feel as though this city needs help in the ems department and I want to give out a helping hand to the city of los santos. I also can bring a lot of life into that department, which I believe it desperately needs.

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

seeing the state of it, there was no one at the hospital and it fired me up.

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

5.1 About you:
Name/Nickname: Jay
Gender: Male
Age: 22
Country: United States
Timezone: Eastern
Discord name and ID: Jay`#2141

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:
None I only have one at the moment

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

5.5 Do you have any administrative punishments on your record?:
Yes

If yes, please explain:
No

6.0 RELEASE AND WAIVER

I, Lucy Gray, 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.

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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. Gray,

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