
AMERICARE - AMBULANCE SERVICE
LOS SANTOS REGIONAL OFFICE
Personal information Please provide accurate personal information in fields A1 through A12 as it's shown on your San Andreas Drivers License or Identification Card.
- A1. Last Name: Beasley
A2. First Name: Lucious
A3. Middle Name: David
A4. Date of Birth: 24/06/1996
A5. Phone Number: 1598502
A6. County of citizenship: San Fierro
A7. Residence Address: 1131 Fountain Avenue, Downtown Los Santos, Los Santos 206, San Andreas
A8. Height: 6'1
A9. Weight: 200 lbs
A10. Sex- [X] Male
[-] Female
- [X] Yes
[-] No
- [-] Yes
[X] No
- [X] Male

AMERICARE - AMBULANCE SERVICE
LOS SANTOS REGIONAL OFFICE
Educational background Please provide information as it pertains to your educational background in sections through B1 through B5. All applicants must at least have a High-school Diploma, or a General Education Diploma (GED) to be considered for employment.
- B1. Please check the boxes if you meet the requirement:
- [-] I possess a high school diploma from a US institution.
[-] I possess a two-year college degree from an accredited college.
[-] I possess a four-year degree from an accredited college or university.
[X] I passed the GED test meeting the required scores.
- [-] Criminal Justice
[-] Business/Economics
[-] General Ed/Undecided
[-] Engineering/Computer
[-] Communications
[-] Psychology/Sociology
[-] Liberal Arts
[-] Education
[X] Science
[-] Other
B4. Type of institution: Life Support.
B5. Graduation date: 28/12/2017 - [-] I possess a high school diploma from a US institution.

AMERICARE - AMBULANCE SERVICES
LOS SANTOS REGIONAL OFFICE
Previous employment In fields C1 through C3 please provide any pertinent past employment information that can be verified through contact.
C1. Please check the boxes if you meet the requirement:
- • Company Name: N/A
• Position: N/A
• Specific Duties: N/A
• Reason for leaving: N/A
• Employed from - to: N/A
• Company Name: N/A
• Position: N/A
• Specific Duties: N/A
• Reason for leaving: N/A
• Employed from - to: N/A
- [-] Army
[-] Navy
[-] Air Force
[-] Marines
[-] Coast Guard
[-] National Guard
[-] Reserves
- [-] Terminated from any job or resigned to avoid termination
[-] History of discipline, unsatisfactory work performance, absenteeism, or tardiness
[-] No history of achievement through promotion or increased responsibilities
[X] Numerous short-term, entry-level jobs in a variety of fields

AMERICARE - AMBULANCE SERVICES
LOS SANTOS REGIONAL OFFICE
Certification and Declerations Please read and sign the declaration and certification at the bottom of the application.
By submitting this application to AmeriCare - Ambulance Service, I, consent to a full background check into my criminal, education, and employment history. In addition, I, certify under penalty of the law that all information submitted in this application and provided during my consideration for employment is truthful.
I hereby certify that all statements and answers made in this Application are true and complete. I understand that any discrepancies, misstatements, omissions, and/or falsifications will be cause for disqualification, for my name to be removed from the eligibility list, or for immediate termination if an appointment has been made.
Applicant's signature: Lucious Beasley
(( Out of character Information ))
D1.Real Life Country of Residence: Romania
D2.LS-RP Forum Account Profile Link: https://forum.ls-rp.io/memberlist.php?m ... e&u=169854
D3.How long have you played on the server?: 4 to 5 years.
D4. List all current and past character names, on every account, and their levels:
Applicant's signature: Lucious Beasley
D2.LS-RP Forum Account Profile Link: https://forum.ls-rp.io/memberlist.php?m ... e&u=169854
D3.How long have you played on the server?: 4 to 5 years.
D4. List all current and past character names, on every account, and their levels:
- 1) Lucious Beasley
- 1) Lucious Beasley -
Applicant's signature: Lucious Beasley