EMS Application

Rebel City EMS

Recruitment Portal

*Requires Verified Citizen Status

Applicant:

Identity Verified

In-City Name *

Age (IRL) *

Total Hours in City (Estimate) *

Region / Timezone *

Are you affiliated with any gangs/families? * Yes No

Do you have a criminal record? * Yes No

Do you have Medical Experience? * Yes No

Please explain your experience:

Do you have EMS Roleplay Experience? * Yes No

Please explain your experience:

Motivation (Min 100 words) *

Word Count: 0 / 100

Skills & Traits (Min 50 words) *

Word Count: 0 / 50

Complete Word Counts to Submit