PREFERRED DEPARTMENT
- [x] Emergency Medicine
- [] Internal Medicine
- [] Surgery
- [] Psychiatric
1. PERSONAL INFORMATION
- 1.1) Title: (select one)
- [] Mr.
- [] Mrs.
- [x] Ms.
- [] Mx.
- [] Other
Elizabeth
1.3) Middle Name: (optional)
Mia
1.4) Last Name:
Clark
1.5) Gender: (select one)- [] Male
- [x] Female
- [] Other
06/10/1997
1.7) Place Of Birth:
Shelbyville, Tennessee, United States
1.8) Address:- 1.8.1) Street Name & Number:
Bilingsgate Motel Room 4
1.8.2) City:
Los Santos
1.8.3) State:
San Andreas
1.8.4) ZIP Code:
1402
- [x] Caucasian
- [] Black or African American
- [] American Indian or Alaska Native
- [] Asian
- [] Pacific Islander or Native Hawaiian
- [] Hispanic or Latino
- [x] Single
- [] Married
- [] Divorced
- [] Separated
- [] Windowed
- [] Civil Partner
5'4"
1.12) Weight:
132lbs
1.13) Phone Number:
47655829
1.14) Email:
[email protected]
2. EDUCATION BACKGROUND
- 2.1) School Leaving and Higher Education Credentials:
- [x] High School Diploma
- [] Certificate (Sub-bachelor or vocational)
- [] Diploma (Sub-bachelor or vocational)
- [] Associate Degree
- [] Bachelor's Degree
- [] First Professional Degree
- [] Post-bachelor's Diploma/Certificate
- [] Master's Degree
- [] Certificate of Advanced Study
- [] Education Specialist Degree
- [] Doctorate
- 2.2.1) School Name:
Thomas Magnet School
2.2.2) Enrollment Term:
03/09/2013 to 09/06/2016
2.2.3) Major Course of Study:
Medical Studies
- [x] Yes
- [] No
- [x] Spanish
- [] Portuguese
- [] Russian
- [] German
- [] Korean
- [] Arabic
- [] Japanese
- [] Dutch
- [] Persian
- [] French
- [] Italian
- [] Chinese
- [] Other: (list them here)
3. EMPLOYMENT HISTORY
- 3.1) Last Place of Employment:
- 3.1.1) Company Name:
Koffee Beanz - More than Coffee
3.1.2) Position:
Barista
3.1.3) Duties Summary:
Making drinks, cooking, handling money, cleaning
3.1.4) Employment Term:
13/03/2015 to 26/08/2021
3.1.5) Reason for Dismissal:
Resigned due to moving
3.1.5) Employer's Name:
Anabella Watson
N/A
3.3) Challenges & Skills Gained:
As a central location, I had to keep up with an extremely busy work environment most of time and it meant a lot of time management and high customer service. - 3.1.1) Company Name:
4. MEDICAL INFORMATION
- 4.1) Do you have any diagnosed physical or mental health condition that could hinder your ability to perform your work duties?
- [] Yes
- [x] No
- 4.1.1) If so, state what physical or mental health condition you have:
ANSWER
- [x] Yes
- [] No
- 4.3) Are you currently taking any prescription drugs or medications that could hamper your work performance?
- [] Yes
- [x] No
- 4.3.1) If so, state what prescription drugs or medications you are taking:
ANSWER
- 4.4) Do you have any known allergies?
- [] Yes
- [x] No
- 4.4.1) If so, state what allergies you have:
ANSWER
5. LICENSES AND CERTIFICATES
- 5.1) Do you have a valid San Andreas Driving License?
- [x] Yes
- [] No
- 5.2) Do you have a valid Aviation License?
- [] Yes
- [x] No
- 5.3) Do you have a valid PF or CCW License?:
- [] Yes
- [x] No
- 5.4) Do you have a valid medical certificate from an accredited school or institution?:
- [x] Yes
- [] No
5.4.1) If so, state your certificate(s), school/institution and year of certification(s):
First Aid - Thomas Magnet School - 2015
6. MOTIVATIONAL LETTER
- 6.1) Submit your motivational letter down below, describing why you wish to join us, why we should choose you rather than someone else and why the qualities required from this job correspond to you: (max. 800 words)
While I didn't get the chance to get into the field back home, I've always been passionate about the medical field. Now that I'm finally presented with a chance to get into the field, I'm here to put 110% into my devotion for the work. My twin sister got sick when I was younger and we were convinced she was going to die. It was hard to watch her like that but the nurses there make it more bearable. I watched them day in and day out. The ability to be able to help people is both a pleasure and I need. In the world we have right now, more people should be focused on this kind of work. The world could not run without nurses and I intend to be one of the reasons it keeps running.
7. RELEASE AND WAIVER
- 7.1) In exchange for the consideration of my job application by Pillbox Hill Medical Center, I agree that:
- Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Pillbox Hill Medical Center practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Pillbox Hill Medical Center, or otherwise to change in any respect the employment at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument. Both the undersigned and Pillbox Hill Medical Center may end the employment relationship at any time, without specified notice or reason. If employed, I understand that Pillbox Hill Medical Center may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
- I, Elizabeth Mia Clark, authorize investigation of all statements contained in this application, including a thorough criminal background check which shall be requested by Pillbox Hill Medical Center to the Los Santos Police Department throughout the handling of the application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice, or denial during the application stage. I hereby give Pillbox Hill Medical Center permission to contact schools, previous employers, references, and others, and hereby release Pillbox Hill Medical Center from any liability as a result of such.
- I, Elizabeth Mia Clark, also understand that (1) Pillbox Hill Medical Center has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I, [write your full name here], further understand that continued employment may be based on the successful passing of job-related physical and mental health examinations, should the employer require the applicant to undergo them.
Beth Clark
7.3) Date:
21/03/2023
(( 8. OUT OF CHARACTER INFORMATION ))
- 8.1) User Control Panel Username:
Midnight Angel
8.2) Unedited Screenshot of User Control Panel Administrative Record:
https://i.imgur.com/OisKPZ5.png
8.3) GTA World Forum Account Name:
Midnight Angel
8.4) Timezone:
GMT+00
8.5) When did start playing on GTA World:
November 2021
8.6) How long has it been since you began roleplaying?:
About 7 years
8.7) Double Faction Permission: (provide proof below)
N/A
8.8) Provide a screenshot of your character's statistics (/stats) which you're applying with:
https://imgur.com/cb2b8b90-5a2c-41ae-ae83-a481abc941dd
8.9) What's the backstory of your character? Provide information in regards to your character's childhood, education, past jobs, hobbies, motivations, future goals, and everything else you find relevant:
Elizabeth Mia Clark grew up in Shelbyville, Tennessee. She was raised by religious parents but she was always treated right as a kid. Elizabeth had a twin sister who she loved more than anything in the world. She did well in school and loved helping out with anything she could. When she was 16, her twin sister got sick. It was a scary time for the entire family but it was worse for the twins. Elizabeth spent every single day with her sister, they all expected the work. She kept her eyes on the nurses a lot when her sister was asleep, just watching their every day tasks. Her sister recovered by Elizabeth never wanted to see anyone feel like they're alone at the hospital. She wanted to go to school and become a nurse and help out everyone like she and her sister were help. She eventually got a job to save up for medical school but before she knew it, years had passed. She helped out with different things at home financially. She helped pay for repairs, extensions on the house. At 25, after pressure from her family about men and money, she decided that she wanted to leave home and go else were to try her luck in another place. She met a stranger named Dustin who quickly became her friend. She left her town with him and headed for the open road for a while. Elizabeth and Dustin stopped in multiple states but didn't settle until they reached San Andreas. The first thing Elizabeth did was apply for nursing school.
