[SAMS Application] Joey Cambell [Accepted]

[Joey Cambell]

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Joey
Last Name: Cambell

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 40
Date of Birth: 1981-12-28
Place of Birth (City, State/Province, Country): San Francisco CA USA

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 280--2617
Residence Address:
{input_resadress}

2.0 PAST EMPLOYMENT AND REFERENCES

2.1 What position are you applying for?
EMR

2.2 Do you have any experience in the position you are applying for?
Just minor giving IV's and shots in the Army

2.3 Do you have any first aid or medical certifications?
none

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:
na

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?
havent gotten one yet

3.5 Have you ever been issued a citation? no
If yes, please explain:
na


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 can get around the city I believe I could help with My knowledge. I know its not a lot of knowledge but i always feel all that can help. plus I'm a good driver so I would like being a Ambulance Driver. Also I enjoy Helping others

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

Mainly because i know we needed ems people. and i wanted to help out and i feel it would be a fun character to play. Sorry i know this isnt 50 words xD

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

5.1 About you:
Name/Nickname: Scott/Stitch
Gender: Male
Age: 35
Country: United States
Timezone: EST
Discord name and ID: Shalacknar#8755

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:
Stitch Johnson Asst Chief of Police
Thomas Anderson Co-owner of Car Wash

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

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?:
na

If yes, please explain:
na

6.0 RELEASE AND WAIVER

I, Joey Cambell, 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.

[Kate Watchel]

Hello Mr. Campbell,

After thorough consideration, I am pleased to announce that you have passed the initial stage of our application process. In order to proceed, I would like to invite you for an in person interview at Pillbox Medical Center at your earliest convenience. Please contact myself via email (Ryschnides#4274) to set up a date and time. Congratulations, I look forward to hearing from you.


Dr. Kate Watchel, MD
Medical Director, San Andreas EMS