San Andreas Government

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Jay
Last Name: Rambo

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 26
Date of Birth: 1995-06-13
Place of Birth (City, State/Province, Country): Los Santos, San Andreas

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 52815688
Residence Address:
N/A

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

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:
LSFD, Lieutenant Firefighter, Cee Cee Jenkins, $1000/hr, $1500/hr, The Ville

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

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.
LSFD/LSPD

3.2 Do you have a Pilot License? Yes
If yes, where did you obtain your certification? Write ‘none’ if not applicable.
LSFD Medic Training

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):

As a previous lieutenant of the fire department, I will bring elite skills when responding to medic calls. I also have the know how to take on leadership roles when called upon. This is necessary for ensuring that protocol is used for each response. Following protocol secures a scene and saves lives.

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

My initial inspiration comes from wanting to serve my community. It started by becoming a volunteer firefighter. I instantly fell in love with it and climbed the ranks to lieutenant. I did not realize the impact that saving a life would have on me. I took pride and every fire/medic response. There's something about a fellow citizen thanking you when you save their life and prevent their inventory from being wiped :)

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

5.1 About you:
Name/Nickname: JuiceDawgg
Gender: Male
Age: 30
Country: United States
Timezone: GMT-6
Discord name and ID: JuiceDawgg#8421

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:
N/A

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?:
Yes

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, Jay Rambo, 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.