RED COUNTY FIRE DEPARTMENT
EMT TRAINEE — ENTRY APPLICATION
EMT TRAINEE — ENTRY APPLICATION
SECTION ONE — PERSONAL INFORMATION
1.1 First Name: Sam
1.2 Middle Name: N/A
1.3 Last Name: Townley
1.4 Date of Birth: 10/12/1990
1.5 Address: Montgomery Motel
1.6 Phone Number: 444 7 444
1.7 Email Address: [email protected]
1.8 Age: 34
1.9 Gender: Male
1.10 Ethnicity: White, British
1.2 Middle Name: N/A
1.3 Last Name: Townley
1.4 Date of Birth: 10/12/1990
1.5 Address: Montgomery Motel
1.6 Phone Number: 444 7 444
1.7 Email Address: [email protected]
1.8 Age: 34
1.9 Gender: Male
1.10 Ethnicity: White, British
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SECTION TWO — EDUCATION
2.1 High School Diploma
Institution: Royal College of Medicine London
Year of Graduation: 15/06/2015
2.2 Post-Secondary Education
Institution: South Wales Primary School
Program/Course: Biology
Year of Completion: 01/04/2011
2.3 University
Institution: Royal Gwent University
Program/Course: Medicine / Biology
Year of Completion: 01/01/2019
Institution: Royal College of Medicine London
Year of Graduation: 15/06/2015
2.2 Post-Secondary Education
Institution: South Wales Primary School
Program/Course: Biology
Year of Completion: 01/04/2011
2.3 University
Institution: Royal Gwent University
Program/Course: Medicine / Biology
Year of Completion: 01/01/2019
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SECTION THREE — EMPLOYEMENT
3.1 Current Employment / Previous Employment: Self Employed
3.2 Job Title: Car Mechanic
3.3 Employment Term: Present
3.4 Reason for quitting: N/A
3.2 Job Title: Car Mechanic
3.3 Employment Term: Present
3.4 Reason for quitting: N/A
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SECTION FOUR — ((OOC INFORMATION))
4.1 RCRP Forum Name: snorman95
4.2 RCRP Master Account Name: snorman95
4.3 Discord Name: normzy
4.4 Timezone: United Kingdom / BST
4.5 List all your character names: Sam Townley
4.6 Administrative Record:
4.7 Level 3+ Character (/stats):
4.2 RCRP Master Account Name: snorman95
4.3 Discord Name: normzy
4.4 Timezone: United Kingdom / BST
4.5 List all your character names: Sam Townley
4.6 Administrative Record:
ADMIN RECORD: show
4.7 Level 3+ Character (/stats):
STATS: show
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SECTION FIVE — DECLARATION
I, Sam Townley, hereby declare that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false statement, misrepresentation, or omission of facts may result in the rejection of my application or, if employed, immediate dismissal from the department.
I further acknowledge that this application does not constitute an employment contract and that, if accepted into the EMS Trainee program, I will be required to adhere to all applicable departmental rules, regulations, and codes of conduct.
By submitting this application, I authorize the department to verify the information provided and to conduct any necessary background checks in accordance with applicable laws and policies.
Signed,
Sam Townley
DATE (15 06 2025)
I further acknowledge that this application does not constitute an employment contract and that, if accepted into the EMS Trainee program, I will be required to adhere to all applicable departmental rules, regulations, and codes of conduct.
By submitting this application, I authorize the department to verify the information provided and to conduct any necessary background checks in accordance with applicable laws and policies.
Signed,
Sam Townley
DATE (15 06 2025)
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