[OPEN] Internship Form

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Zachary Takamoto
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Joined: Sun May 22, 2022 7:12 pm

[OPEN] Internship Form

Post by Zachary Takamoto »


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DEPARTMENT OF MEDICAL EXAMINER-CORONER
PRELIMINARY APPLICATION FOR EMPLOYMENT

ACKNOWLEDGEMENT & AUTHORIZATION

By submitting this application, I, Full Name, 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 application will result in immediate denial and an indefinite ban from applying for future job vacancies.

A. PERSONAL INFORMATION

  • Preferred Title: Mr./Mrs./Miss./Dr./Ms.
  • First name(s): Answer
  • Last name: Answer
  • Date of Birth: DD/MMM/YYYY
  • Phone number: Answer
  • Email address: Answer
  • Place of Birth: Answer
  • Nationality: Answer
  • Residential address: # Street Name, City, State

B. EDUCATION

  • Name of High School: Answer
  • Year of graduation: Answer
  • Bachelor's Degree: Answer
  • Name of College/University: Answer

C. PREVIOUS EMPLOYMENT

  • Have you ever been employed at another Government Agency?: Yes/No
  • If yes, which Government Agency did you used to work for?: Answer
    Notice: If you cannot enter any necessary fields, then input N/A in the space provided.

D. (( OUT OF CHARACTER INFORMATION ))

  • Please provide your timezone (GMT): Answer
  • Please provide a link to a timestamped screenshot of your administrative record: ACCESS
  • Please provide a link to a timestamped screenshot of your character in-game /stats: ACCESS
  • Are you currently Legal Faction banned or have ever been Legal Faction banned: Yes/No
  • Please provide your User Control Panel (UCP) username: Answer
  • Please provide a link to your GTA World Forum Account: ACCESS
  • Please provide your Discord #ID: Answer

  • Please provide proof of your Double Faction Permission, if applicable: ACCESS
  • List all current and past character names:
    Answer
    Answer
    Answer
  • Write your characters background story (Minimum 200 words):
Chief Deputy Medical Examiner Dr. Zachary Takamoto
Department of Medical Examiners and Coroners
Law and Science Serving the Community
z.takamoto@dmec.gov

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