[FORM] Application
Posted: Thu May 02, 2024 5:23 pm
I. PERSONAL INFORMATION
- Title:
- [] Mr.
- [] Ms.
- [] Mrs.
- [] Dr.
- [] Mx.
- [] Other: (state what here)
Full Name:
ANSWER
Date of Birth:
DD/MMM/YYYY
Gender:
- [] Male
- [] Female
- [] Other: (state what here)
Race:
ANSWER
Home Address:
ANSWER
Phone Number:
ANSWER
Email Address:
ANSWER (( Include your GTA World forum name here. ))
II. EDUCATION AND TRAINING
If applying for a position other than physician/psychiatrist, only fill out the medical degree part and delete the rest of the code under this section.
- Position Applying For:
- [] Physician
- [] Psychiatrist
- [] Nurse
- [] Therapist
- [] Volunteer
- Medical Degree:
- University Name:
ANSWER - Degree Earned:
ANSWER - Graduation Year:
ANSWER - Honors or Distinctions: (optional)
ANSWER
- University Name:
- Residency Training:
- Residency Program:
ANSWER - Specialty:
ANSWER - Location:
ANSWER - Completion Year:
ANSWER - Honors or Distinctions: (optional)
ANSWER
- Residency Program:
- Fellowship Training: (if applicable)
- Fellowship Program:
ANSWER - Specialty/Subspecialty:
ANSWER - Institution:
ANSWER - Location:
ANSWER - Completion Year:
ANSWER - Honors or Distinctions: (optional)
ANSWER
- Fellowship Program:
- Relevant Courses or Certifications: (optional)
Link to Medical License Obtained here:List any relevant continuing education courses, workshops, or certifications, including the date completed and issuing organization.
III. PROFESSIONAL EXPERIENCE
Provide information about your last work experience.
- Job Title:
ANSWER
Employer:
ANSWER
Location:
ANSWER
Dates of Employment:
DD/MMM/YYYY to DD/MMM/YYYY
Responsibilities Summary:
ANSWER
Key Accomplishments: (optional)
ANSWER
IV. MOTIVATIONAL LETTER
- Why do you want to work at Valentines Rehabilitation Center?: (200 words max.)
Describe your reasons for wanting to join our rehabilitation center here.
(( V. OUT-OF-CHARACTER INFORMATION ))
[/br
Discord Username:
ANSWER
GTA World Forum Account Name & Link:
ANSWER
Unedited Screenshot of UCP Admin Record:
ANSWER
Timezone:
ANSWER
Provide a screenshot of your character's /stats that you're applying with:
ANSWER
Title Template:
Code: Select all
[POSITION] YOUR FULL NAME
Code: Select all
[divbox=#303544][center][br][/br][img]https://i.imgur.com/6WhFHLO.png[/img][br][/br][/center][/divbox][br][/br]
[divbox=#363E54][br][/br][left][color=#47AEBF][size=120][b][indent][center]I. PERSONAL INFORMATION[/center][/indent][/b][/size][/color][/left][br][/br][/divbox]
[divbox=#303544][br][/br]
[list=none][b]Title:[/b]
[size=85][list=none]
[*][] Mr.
[*][] Ms.
[*][] Mrs.
[*][] Dr.
[*][] Mx.
[*][] Other: [i](state what here)[/i][/list][/size]
[b]Full Name:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Date of Birth:[/b]
[size=85][i]DD/MMM/YYYY[/i][/size][br][/br][br][/br]
[b]Gender:[/b]
[size=85][list=none]
[*][] Male
[*][] Female
[*][] Other: [i](state what here)[/i][/list][/size]
[b]Race:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Home Address:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Phone Number:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Email Address:[/b]
[size=85][i]ANSWER (( Include your GTA World forum name here. ))[/i][/size][br][/br][br][/br][/list][br][/br][/divbox][br][/br]
[divbox=#363E54][br][/br][left][color=#47AEBF][size=120][b][indent][center]II. EDUCATION AND TRAINING[/center][/indent][/b][/size][/color][/left][br][/br][/divbox]
[divbox=#303544][br][/br]
[center]If applying for a position other than physician/psychiatrist, only fill out the [b]medical degree[/b] part and delete the rest of the code under this section.[/center]
[list=none][b]Position Applying For:[/b]
[size=85][list=none]
[*][] Physician
[*][] Psychiatrist
[*][] Nurse
[*][] Therapist
[*][] Volunteer[/list][/size][/list]
[hr]
[list=none][b]Medical Degree:[/b]
[list][b]University Name:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Degree Earned:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Graduation Year:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Honors or Distinctions:[/b] [size=70][i](optional)[/i][/size]
[size=85][i]ANSWER[/i][/size][br][/br][/list][/list]
[hr]
[list=none][b]Residency Training:[/b]
[list][b]Residency Program:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Specialty:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Location:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Completion Year:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Honors or Distinctions:[/b] [size=70][i](optional)[/i][/size]
[size=85][i]ANSWER[/i][/size][br][/br][/list][/list]
[hr]
[list=none][b]Fellowship Training:[/b] [size=70][i](if applicable)[/i][/size]
[list][b]Fellowship Program:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Specialty/Subspecialty:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Institution:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Location:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Completion Year:[/b]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br]
[*][b]Honors or Distinctions:[/b] [size=70][i](optional)[/i][/size]
[size=85][i]ANSWER[/i][/size][br][/br][/list][/list]
[hr]
[list=none][b]Relevant Courses or Certifications:[/b] [size=70][i](optional)[/i][/size][br][/br]
[quote][i][size=85]List any relevant continuing education courses, workshops, or certifications, including the date completed and issuing organization.[/size][/i][/quote]
[b]Link to Medical License Obtained [url=https://gov.gta.world/viewforum.php?f=900]here[/url]:[/b]
[size=85][i][/size][br][/br][br][/br]
[/divbox][br][/br]
[divbox=#363E54][br][/br][left][color=#47AEBF][size=120][b][indent][center]III. PROFESSIONAL EXPERIENCE[/center][/indent][/b][/size][/color][/left][br][/br][/divbox]
[divbox=#303544][br][/br]
[center]Provide information about your last work experience.[/center]
[list=none][b]Job Title:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Employer:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Location:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Dates of Employment:[/b]
[size=85][i]DD/MMM/YYYY to DD/MMM/YYYY[/i][/size][br][/br]
[b]Responsibilities Summary:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Key Accomplishments:[/b] [size=70][i](optional)[/i][/size]
[size=85][i]ANSWER[/i][/size][br][/br][br][/br][/list][br][/br][/divbox][br][/br]
[divbox=#363E54][br][/br][left][color=#47AEBF][size=120][b][indent][center]IV. MOTIVATIONAL LETTER[/center][/indent][/b][/size][/color][/left][br][/br][/divbox]
[divbox=#303544][br][/br]
[list=none][b]Why do you want to work at Valentines Rehabilitation Center?:[/b] [size=70][i](200 words max.)[/i][/size][br][/br]
[quote][i][size=85]Describe your reasons for wanting to join our rehabilitation center here.[/size][/i][/quote][/divbox][br][/br]
[divbox=#363E54][br][/br][left][color=#47AEBF][size=120][b][indent][center](( V. OUT-OF-CHARACTER INFORMATION )) [/center][/indent][/b][/size][/color][/left][br][/br][/divbox]
[divbox=#303544][br][/br
[b]Discord Username:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]GTA World Forum Account Name & Link:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Unedited Screenshot of UCP Admin Record:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Timezone:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[b]Provide a screenshot of your character's /stats that you're applying with:[/b]
[size=85][i]ANSWER[/i][/size][br][/br]
[code][/divbox]