Pillbox Medical Centre Application

This form is the official application for prosperous seeking people that want to be apart of the city's best source of medical care. Please fill out this application and note that responses can take 1-5 business days (but are pretty frequent of being looked at). If you have any questions please contact Pillbox Senior/Executive Staff or Samuel Giovanchi, Hospital Chief Executive Officer.

OUT OF CHARACTER INFORMATION
Discord Name Required

Example Jamie#0070
What country are you located in Required
What is your time zone Required
How active do you intend to be. Required

Include what days and times you are most likely to be available
How many hours do you have on FiveM Required
Do you have any real world or substantial in-game medical experience Required
IN CHARACTER INFORMATION
Full Name Required
Date of Birth Required
What is your age Required
Phone Number Required
Department applying for Required
- Doctor
- Nursing
Do you have any prior medical experience? Required

If you don’t, it’s okay. We will train you until you are ready to practice medicine on your own. We just want to know if you have any previous experience or knowledge
Have you ever been convicted of a crime, or have any previous criminal history Required

If yes, please explain; include if there were any expungements
Why do you want to be a member of Pillbox Medical Center Required
What is your background Required
What are your strengths Required
What are your weaknesses Required
How does being a Doctor/Nurse within Pillbox Medical Center go together with your goals Required

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Pillbox Medical Centre Application

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