REINSTATEMENT REQUEST
I. PERSONAL INFORMATION
III. EMPLOYMENT INFORMATION
I. PERSONAL INFORMATION
- 1.1 Title: Dr.
- 1.2 First name(s): Serena
- 1.3 Last name: Carlucci
1.4 Date of Birth: 12/08/1988
1.5 Phone number: 3494
1.6 Email address: [email protected]
1.7 Place of Birth: Stauton Island, Liberty City
1.8 Nationality: American
1.9 Residential address: 4704 Caesar's Place, Los Santos
1.10 Past job position: Owner/Board Certified Plastic Surgeon Serenity Wellness
1.11 Resignation or Termination? Please explain: Traveling, waiting for the government to reaccept my license for my clinic.
1.12 Link to your admin record: AMSWER
III. EMPLOYMENT INFORMATION
- 3.1 Have you been employed by another company during your absence from Infinity Medical Clinic or Pillbox Hill Medical Center? Volunteer medical work in India
IV. MOTIVATIONAL LETTER
- 4.1 Please explain why you have decided to reinstate.
I needed to go on sabbatical and traveled to India for six months to volunteer.
V. CRIMINAL HISTORY- 5.1 Have you been charged with any misdemeanor or felony during your absence from Infinity Medical Clinic or Pillbox Hill Medical Center?
[] YES [x] NO
5.2 If yes to the previous question, please elaborate (or N/A):
N/A
- 5.3 Provide your current ‘FULL RECORD’ admin history found in the UCP: ACCESS
By submitting this reinstatement request, I, Dr. Serena Carlucci, hereby certify that all questions contained in this document were met with truthful statements. I fully authorize the investigation of any content shared on this document. I am aware that lying, omitting, plagiarizing, or maliciously adulterating this request will result in immediate denial and an indefinite ban from applying for future job vacancies. - 4.1 Please explain why you have decided to reinstate.
