[SAMS Application] Blake Percival

[Blake Percival]

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Anthony (Tony)
Last Name: Dewhurst

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 28
Date of Birth: 1993-04-07
Place of Birth (City, State/Province, Country): Fresno, CA USA

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: TBD
Residence Address:
NA

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?
Only basic first aid training from my Navy training

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:
None

2.7 List any Los Santos Emergency Services References you may have:
None in this city

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.
NA

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

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?
No

3.5 Have you ever been issued a citation? Yes
If yes, please explain:
Speeding


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):

During my time in the navy, I developed my leadership skills. I learned how to operate at a high level under intense stress. I learned the value of teamwork and a good work ethic. I was also introduced to basic medical knowledge and I don't faint at the sight of blood. I thank that I will bring all of these attributes and skills to the team here at the SAMS.

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

I look up to a few "Real life TV show Stars like Bailey from the show Tiny Stunt"... She makes EMS look like the important aspect it is. After graduation, I joined the navy, and watched paramedics on board my ship care for myself and my crewmates every day. Once, there was a small explosion / fire on board the ship and I along with two other crew were trapped underneath the beam that fell on us. I watched 2 paramedics run to us regardless of the danger to themselves from the fire... pull us out and treat us in a safe space... Only slight scars remain but they saved my life. I want to be that person that runs into the danger to save other's lives the way those two saved mine.

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

5.1 About you:
Name/Nickname: Blake
Gender: Male
Age: 39
Country: USA
Timezone: USA CENTRAL TIME ZONE
Discord name and ID: BM#6648

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:
Blake Percival (Applied to LSPD)

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

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

If yes, please explain:
Not that I know of.


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:
I am still testing out servers to find a home for my group. But I am not involved with any current departments on any server.

6.0 RELEASE AND WAIVER

I, Anthony Dewhurst, 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.

[Maeve Rowan]

Dear Mr. Dewhurst,

After thorough review, San Andreas Medical Services is pleased to invite you to an interview at Pillbox Hill Medical Center. We are located on the 3rd floor of 8040 Strawberry Avenue, Los Santos. Please contact Dr. Rowan at 314-0149 ((or Nyvix#5261)) at your earliest convenience.

Dress to impress. All training is provided, answer the questions to the best of your ability, with confidence. Arrive on time and wait in the waiting room, the interview will begin at the earliest availability, but 911 calls will take priority.

Good luck.

Sincerely,
Dr. Maeve Rowan
Medical Director