San Andreas Government

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Marcus
Last Name: Aurelius

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 28
Date of Birth: 1992-30-11
Place of Birth (City, State/Province, Country): LS, USA

1.4 Citizenship:
UsCitizen


1.5 Contact Details:
Phone Number: 283-4232
Residence Address: 16 Mission Row, Los Santos - San Andreas

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

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:
n/a

2.7 List any Los Santos Emergency Services References you may have:

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.
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):

I'm a hard-working individual who likes to learn I have good pilot and driving skills. I studies anatomy in high school and I really enjoyed it.

I am a team player and will always try to help my colleagues. and always try to do the right thing no matter the consequences.


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

I am trying to save everyone in this world, I know that's not possible but will try my best to offer a good fighting chance for anyone who needs it.

I am also interested in a Psychology degree so I want to become a therapist in some time.
I will help people as an EMT and do Therapist work when needed.

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

5.1 About you:
Name/Nickname: V
Gender: Anderi
Age: 28
Country: Ro
Timezone: Eu
Discord name and ID: Velaurius#0729

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

5.3 Please list any other characters you have on StoryRP, including their profession or side gigs:
Tony Sopano - Soprano Pizzeria and Criminal

5.4 List all the factions you are currently a part of (type N/A if none):
just sopanos - family not factions

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?:
yes

5.6.1 If yes to 5.6, are you involved in any factions there?:
Public Works (tow truck driver)

If yes, please explain:

6.0 RELEASE AND WAIVER

I, Marcus Aurelius, 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.