San Andreas Government

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Nicky
Last Name: Bots

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 35
Date of Birth: 1986-07-15
Place of Birth (City, State/Province, Country): Oasis

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 277-9732
Residence Address:
None/Homeless

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?
Yes EMS certification in oasis

2.3 Do you have any first aid or medical certifications?
Yes

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:
Oasis 2000 an hour ending pay 3500

2.7 List any Los Santos Emergency Services References you may have:
Oasis PD and EMS

3.0 LICENSES AND CRIMINAL HISTORIES

3.1 Are you certified to use a taser? Yes
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
yes LSPD

3.2 Do you have a Pilot License? YES
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
lspd pertinax

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:
Current officer 1


3.6 Have you ever been charged with a misdemeanor? NO NEVER
If yes, please explain:



3.7 Have you ever been arrested and/or convicted of a felony? NO NEVER
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): I have always been an energetic worker. Throughout my work history– this energy has shown itself in my upbeat attitude and ability to keep busy. Work has always been about more than a to-do list for me. I strive to take initiative to help on special projects and day-to-day tasks to ensure tasks get done. Of course- my energy is led by my time management skills- so I work on top-priority jobs before searching for busywork. If I were to get this position- this energy- and everything that comes with it- would lead to brainstorming- innovation and efficiency.

2. If I were to get this position- I would bring a fierce- ambitious attitude. In the past my ambition has led me to take on roles of leadership when necessary. My last job saw a lot of turnover. I had only been with the company for a month- but I was still one of the workers with the most experience. My supervisor was sick on the day of a big presentation. My coworkers and I were worried about who would take the lead. I willingly stepped in and presented what we had worked on. This- and similar experiences- have showed me I thrive on these types of challenges. In this position I would confidently work with the team and willingly take leadership roles when necessary.

I would love to help out the community

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

n/a

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

5.1 About you:
Name/Nickname: Nicky
Gender: Male
Age: 35
Country: United States
Timezone: EST
Discord name and ID: Nickybots#8879

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:
No idea what that means I am just pd 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?:
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, Nicky Bots, 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.