RED COUNTY FIRE DEPARTMENT
EMT TRAINEE — ENTRY APPLICATION
EMT TRAINEE — ENTRY APPLICATION
SECTION ONE — PERSONAL INFORMATION
1.1 First Name: Jerome
1.2 Middle Name: n/a
1.3 Last Name: Johnson
1.4 Date of Birth: 18/02/1996
1.5 Address: Dillmore, Block 7, Flat 1
1.6 Phone Number: 702-8708
1.7 Email Address: [email protected]
1.8 Age: 28
1.9 Gender: Male
1.10 Ethnicity: South African
1.2 Middle Name: n/a
1.3 Last Name: Johnson
1.4 Date of Birth: 18/02/1996
1.5 Address: Dillmore, Block 7, Flat 1
1.6 Phone Number: 702-8708
1.7 Email Address: [email protected]
1.8 Age: 28
1.9 Gender: Male
1.10 Ethnicity: South African
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SECTION TWO — EDUCATION
2.1 High School Diploma
Institution: Red County High School
Year of Graduation: 2015
2.2 Post-Secondary Education
Institution: Red County College
Program/Course: Mechanics
Year of Completion: 2017
2.3 University
Institution: Red County University
Program/Course: Marketing
Year of Completion: 2021
Institution: Red County High School
Year of Graduation: 2015
2.2 Post-Secondary Education
Institution: Red County College
Program/Course: Mechanics
Year of Completion: 2017
2.3 University
Institution: Red County University
Program/Course: Marketing
Year of Completion: 2021
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SECTION THREE — EMPLOYEMENT
3.1 Current Employment / Previous Employment: ANSWER HERE, PLEASE ONLY SPECIFY PREVIOUS EMPLOYMENT IF YOU ARE NOT CURRENTLY EMPLOYED, ADD THE SUFFIX (PREV.)
3.2 Job Title: n/a
3.3 Employment Term: n/a
3.4 Reason for quitting: n/a
3.2 Job Title: n/a
3.3 Employment Term: n/a
3.4 Reason for quitting: n/a
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SECTION FOUR — ((OOC INFORMATION))
4.1 RCRP Forum Name: Azar
4.2 RCRP Master Account Name: Azar
4.3 Discord Name: Jimmy
4.4 Timezone: GMT+1
4.5 List all your character names: Jerome Johnson, Isaac Zaire and Bella Rose
4.6 Administrative Record:
4.7 Level 3+ Character (/stats):
4.2 RCRP Master Account Name: Azar
4.3 Discord Name: Jimmy
4.4 Timezone: GMT+1
4.5 List all your character names: Jerome Johnson, Isaac Zaire and Bella Rose
4.6 Administrative Record:
ADMIN RECORD: show
4.7 Level 3+ Character (/stats):
STATS: show
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SECTION FIVE — DECLARATION
I, Jerome Johnson, 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,
Jerome Johnson
DATE (17/06/2025)
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,
Jerome Johnson
DATE (17/06/2025)
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