San Andreas Government

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Alexander
Last Name: White

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 26
Date of Birth: 1995-01-22
Place of Birth (City, State/Province, Country): American

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 273-2628
Residence Address:
I don't have right now.

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?
No,I don't have any experience for that position.

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:
I don't have.

2.7 List any Los Santos Emergency Services References you may have:
Actually I don't have right now.

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.
-

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

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):

For EMS I can't bring experience because I haven't practiced any first aid course or anything. But I can learn along the way and become a better and better paramedic, to be able to save as many lives as possible and to help as many people as possible from death. I will start to make friends with my colleagues and get along well with them for a pleasant and fun atmosphere.

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

Since I was a child I wanted to be a paramedic, I was playing around the house with the cars and I like it a lot, my mother was a doctor at the hospital, she was doing brain surgery, now she is retired because she has aged. I want to join EMS because I want to help people who need help in this city and save those in need. And I want to follow my mother's path.

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

5.1 About you:
Name/Nickname: Cristian Dehelean
Gender: Male
Age: 15
Country: Romania
Timezone: GMT+2/EST
Discord name and ID: Cristiann#3419

5.2 Have you ever been in the SAENS faction before? (applies to any character):
No

5.3 Please list any other characters you have on StoryRP, including their profession or side gigs:
I don't have any other characters.

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?:
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, Alexander White, 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.