EMS Application

Rebel City EMS

Recruitment Portal

Welcome. To ensure the quality of our roleplay, we require all applicants to verify their Citizen status via Discord before applying.

Applicant:

Discord Identity Verified

What is your in In-City Name?Name *

How many hours in total do you have in the City?Age (Rough estimate) * 

What is your age?IRL) *

WhatTotal RegionHours arein youCity in?(Estimate) *

Region / Timezone * 

Are you affiliated with or part of any gangs or gangs/families? *

Yes No

Do you have a criminal record? *

 Yes  No

Do you have any medical experience? *

Yes No

IfDo Yes,you pleasehave explain:Medical Experience? *  Yes  No

Please explain your experience:

Do you have any previous EMS roleplayRoleplay experience?Experience? *

Yes No

IfPlease Yes,explain pleaseyour explain: *experience:

WhatMotivation motivates(Min you100 to join the Rebel City EMS and what do you hope to contribute?words) *

(100 word minimum)

Word Count: 0 / 100

WhatSkills skills,& traitsTraits or(Min experiences50 make you a strong candidate for this role?words) *

(50 word minimum)

Word Count: 0 / 50

Complete Word Counts to Submit Application