Post by Steve on Feb 15, 2015 15:54:05 GMT
Los Santos Fire Department
P.O. Box 117, Los Santos, California, 90001
Office: (213) 555-5613 Fax: (213) 555-2953
— APPLICATION OF EMPLOYMENT —
7-16 Application Model
Applicant Name:
Social Security Number:
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
It is the policy of the City of Los Santos to afford equal employment opportunity to all qualified persons
regardless of race, color, religion, national origin, age, military status, sexual orientation, disability, or
gender, except where age or sex is a bona-fide occupational qualification as allowed by the Civil Rights Act
of 1964.
— PERSONAL INFORMATION —
First, middle and last name:
>
Date of Birth:
>
Mailing address:
>
Living address (if different from mailing address):
>
Daytime Phone number:
>
Email address (If applicable):
>
Who referred you to us?
> Agency [ ] Employee [ ] Newspaper advertisement [ ] California Department of Labor [ ]
> Other: _______________________________________
Are you authorized to work in the U.S. on an unrestricted basis?
> Yes [ ] No [ ]
Are you over age 18?
> Yes [ ] No [ ]
Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify an applicant from employment.)
> Yes [ ] No [ ]
— EMPLOYMENT DESIRED —
Position Applying For:
> FireFighter I or II [ ] Emergency Medical Technician [ ] 911 Dispatcher [ ] Other [ ]
If you selected other, please specify below.
> ______________________________
Have you worked for the City of Los Santos before?
> Yes [ ] No []
Are you available for full time work?
> Yes [] No [ ]
Are you available for part time work?
> Yes [ ] No [ ]
Date you can start:
>
In addition to your work history, what other experiences, skills or qualifications would qualify you for work with our agency?
>
— EDUCATION —
Fill as applicable:
Name of School 1:
City of Graduation:
Graduated: Yes [] No [ ]
— MILITARY SERVICE INFORMATION —
This information is furnished on a voluntary basis.
— RELEASE AND CERTIFICATION —
PLEASE READ BEFORE SIGNING
I understand that the foregoing will be verified in order to expedite my application for employment with the City of Los Santos. I hereby authorize the City of Los Santos to conduct a full investigation into my background.
I authorize the City of Los Santos to obtain my previous work records, employment records, character references and any other information concerning character, ability and habits and all other necessary information. Further I grant authority to the keeper of these records to release said records to the City of Los Santos for the purpose of making its hiring decision. I agree that the City of Los Santos shall not be liable in any respect if a job offer is not extended, is withdrawn, or my employment is terminated because of false statement, omissions or answers made by me on this application. I agree that my previous employers shall not be liable with regard to any information provided by them in connection with this release.
I certify under the pains and penalty of perjury that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing, which, if disclosed, would affect this application unfavorably. I understand that any false statements, omissions or answers made by me on this application can result in my immediate termination.
In compliance with the Immigration and Reform and Control Act of 1986, I understand that I will be required to provide approved documentation that verifies my right to work in the United States on my first day of employment. I have received the list of approved documents with this application.
I understand that my employment will be at-will, which means that both the City of Los Santos and I are free to terminate the employment relationship at any time for any non-statutorily prohibited reason or for no reason at all, with or without notice.
I hereby acknowledge that I have read in full and understand the above statements and conditions of
employment.
Signature of Applicant:
>
Printed Name:
>
Date:
>
— OOC INFORMATION —
Age:
>
Country:
>
How long have you been roleplaying?
>
Do you have access to teamspeak 3?
> Yes [] No [ ]
Do you have a mic and are willing to use it?
> Yes [] No [ ]
Have you ever been part of a Fire or EMS faction in a medium or high standard SAMP community?
> Yes [] No [ ]
If Yes, please list the community's name, faction, highest rank attained and your duration of service below:
Further notes:
P.O. Box 117, Los Santos, California, 90001
Office: (213) 555-5613 Fax: (213) 555-2953
— APPLICATION OF EMPLOYMENT —
7-16 Application Model
Applicant Name:
Social Security Number:
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
It is the policy of the City of Los Santos to afford equal employment opportunity to all qualified persons
regardless of race, color, religion, national origin, age, military status, sexual orientation, disability, or
gender, except where age or sex is a bona-fide occupational qualification as allowed by the Civil Rights Act
of 1964.
— PERSONAL INFORMATION —
First, middle and last name:
>
Date of Birth:
>
Mailing address:
>
Living address (if different from mailing address):
>
Daytime Phone number:
>
Email address (If applicable):
>
Who referred you to us?
> Agency [ ] Employee [ ] Newspaper advertisement [ ] California Department of Labor [ ]
> Other: _______________________________________
Are you authorized to work in the U.S. on an unrestricted basis?
> Yes [ ] No [ ]
Are you over age 18?
> Yes [ ] No [ ]
Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify an applicant from employment.)
> Yes [ ] No [ ]
— EMPLOYMENT DESIRED —
Position Applying For:
> FireFighter I or II [ ] Emergency Medical Technician [ ] 911 Dispatcher [ ] Other [ ]
If you selected other, please specify below.
> ______________________________
Have you worked for the City of Los Santos before?
> Yes [ ] No []
Are you available for full time work?
> Yes [] No [ ]
Are you available for part time work?
> Yes [ ] No [ ]
Date you can start:
>
In addition to your work history, what other experiences, skills or qualifications would qualify you for work with our agency?
>
— EDUCATION —
Fill as applicable:
Name of School 1:
City of Graduation:
Graduated: Yes [] No [ ]
— MILITARY SERVICE INFORMATION —
This information is furnished on a voluntary basis.
— RELEASE AND CERTIFICATION —
PLEASE READ BEFORE SIGNING
I understand that the foregoing will be verified in order to expedite my application for employment with the City of Los Santos. I hereby authorize the City of Los Santos to conduct a full investigation into my background.
I authorize the City of Los Santos to obtain my previous work records, employment records, character references and any other information concerning character, ability and habits and all other necessary information. Further I grant authority to the keeper of these records to release said records to the City of Los Santos for the purpose of making its hiring decision. I agree that the City of Los Santos shall not be liable in any respect if a job offer is not extended, is withdrawn, or my employment is terminated because of false statement, omissions or answers made by me on this application. I agree that my previous employers shall not be liable with regard to any information provided by them in connection with this release.
I certify under the pains and penalty of perjury that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing, which, if disclosed, would affect this application unfavorably. I understand that any false statements, omissions or answers made by me on this application can result in my immediate termination.
In compliance with the Immigration and Reform and Control Act of 1986, I understand that I will be required to provide approved documentation that verifies my right to work in the United States on my first day of employment. I have received the list of approved documents with this application.
I understand that my employment will be at-will, which means that both the City of Los Santos and I are free to terminate the employment relationship at any time for any non-statutorily prohibited reason or for no reason at all, with or without notice.
I hereby acknowledge that I have read in full and understand the above statements and conditions of
employment.
Signature of Applicant:
>
Printed Name:
>
Date:
>
— OOC INFORMATION —
Age:
>
Country:
>
How long have you been roleplaying?
>
Do you have access to teamspeak 3?
> Yes [] No [ ]
Do you have a mic and are willing to use it?
> Yes [] No [ ]
Have you ever been part of a Fire or EMS faction in a medium or high standard SAMP community?
> Yes [] No [ ]
If Yes, please list the community's name, faction, highest rank attained and your duration of service below:
Further notes: