[SAMS Application] Joe Dez

[Joe Dez]

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

1.0 PERSONAL INFORMATION

1.1 Name:
First Name: Joe
Last Name: Dez

1.2 Gender:
Male

1.3 Age, Date of Birth and Place of Birth:
Age: 25
Date of Birth: 1997-04-14
Place of Birth (City, State/Province, Country): San andreas

1.4 Citizenship:
UsCitizen

1.5 Contact Details:
Phone Number: 274-8689

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?
Yes, Some basic have been learned

2.3 Can you speak to others in English proficiently?:
Yes

2.4 Can you write to others in English proficiently?:
Yes

2.5 List any Los Santos Emergency Services References you may have:
N/A

3.0 LICENSES AND CRIMINAL HISTORIES

3.1 Do you possess a valid driver's license in the State of San Andreas?
Yes

3.2 Have you ever been charged with a misdemeanor? No
If yes, please explain:



3.3 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 feel I could an extra hand with such low staff and really just help out with anything I am very much active so that's a very big service and being new to the city and with no problems with anyone i should be able to socialize.

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

Really seeing yall having low staffs i know how that can feel so really just helping yall out with a extra hand. i have always wanted to try Ems and just have a fun experience so that is what I have heard from friends and family.

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

5.1 About you:
Name/Nickname: Don
Gender: Male
Age: 18
Country: U.S.A
Timezone: EST
Discord name and ID: Phathyper#1357

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:

6.0 RELEASE AND WAIVER

I, Joe Dez, 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. Dez,

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