PREFERRED DEPARTMENT
- [] Emergency Medicine
- [X] Internal Medicine
- [] Surgery
- [] Mental Health
1. PERSONAL INFORMATION
- 1.1) Title: (select one)
- [] Mr.
- [] Mrs.
- [X] Ms.
- [] Mx.
- [] Other
Taeri
1.3) Middle Name: (optional)
Vanessa
1.4) Last Name:
Hayes
1.5) Gender: (select one)- [] Male
- [X] Female
- [] Other
15/12/1995
1.7) Place Of Birth:
Spain
1.8) Address:- 1.8.1) Street Name & Number:
3402 Magellan Ave
1.8.2) City:
Los Santos
1.8.3) State:
San Andreas
1.8.4) ZIP Code:
ANSWER
- [] Caucasian
- [] Black or African American
- [] American Indian or Alaska Native
- [] Asian
- [] Pacific Islander or Native Hawaiian
- [X] Hispanic or Latino
- [X] Single
- [] Married
- [] Divorced
- [] Separated
- [] Windowed
- [] Civil Partner
A1.68
1.12) Weight:
60kg
1.13) Phone Number:
81180128
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:
Colegio Alameda International School
2.2.2) Enrollment Term:
06/02/2001 to 15/11/2013
2.2.3) Major Course of Study:
N/A
- [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:
N/A
3.1.2) Position:
N/A
3.1.3) Duties Summary:
N/A
3.1.4) Employment Term:
N/A
3.1.5) Reason for Dismissal:
N/A
3.1.5) Employer's Name:
N/A
I recently arrived from Spain, Madrid. I did some internal medicine back in Spain but have most to no experience on the field.
3.3) Challenges & Skills Gained:
I've been studying on and off. From Art to Industrial Engineering, all these experiences have made me tough and flexible on a varied range of skills. - 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:
N/A
- [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:
N/A
- 4.4) Do you have any known allergies?
- [] Yes
- [X] No
- 4.4.1) If so, state what allergies you have:
N/A
5. MOTIVATIONAL LETTER
- 5.1) Submit your brief motivational letter down below, describing why you want to volunteer at Pillbox Hill Medical Center: (max. 800 words)
I've been through a lot of hit and misses, finally Pillbox Hill Medical Center seems like the perfect way to have a hit and never miss again. I'd like to start as a volunteer and work my way up to an actual rank in the center. This would be the best way to start learning from the ground all that is requiered in the field of Internal Medicine. I already helped my community from time to time as a volunteer in medical positions but nothing serious. This would proof to my friends, family and most importantly to me that I'm capable of doing great things
6. RELEASE AND WAIVER
- 6.1) In exchange for the consideration of my volunteer position by Pillbox Hill Medical Center, I agree that:
- Neither the acceptance of this application nor the subsequent entry into any type of volunteer 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 volunteership, or to confer any right to remain a volunteer 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 volunteer relationship at any time, without specified notice or reason. If obtained the role of a volunteer, 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, Taeri Vannesa Hayes, 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, Taeri Vannesa Hayes 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 volunteership is based on the successful passing of testing under such policy. I, [write your full name here], further understand that continued volunteership may be based on the successful passing of job-related physical and mental health examinations, should the employer require the applicant to undergo them.
Taeri Hayes
6.3) Date:
7/9/2023
(( 7. OUT OF CHARACTER INFORMATION ))
- 7.1) User Control Panel Username:
Skydeluire
7.2) Unedited Screenshot of User Control Panel Administrative Record:
https://imgur.com/a/G4Kskg6
7.3) GTA World Forum Account Name:
Skydeluire
- 7.3.1) Link: https://forum.gta.world/en/profile/40612-skydeluire/
GMT-6
7.5) Provide your faction leadership's approval of participating in the double faction program, if applicable:
N/A
7.6) Provide a screenshot of your character's statistics (/stats) which you're applying with:
https://imgur.com/a/Z3A4Ygb
