Pillbox Medical Job Application
Thank you for your interest in joining the Pillbox Medical team.

Please make sure your application is filled out completely with all questions answered.

We are looking for people who are serious about RPing the role.

Qualification Prerequisites: 
  • Minimum Time In-City: 1 Week (Exceptions are made on a case by case basis)
  • In-Head Age Requirement: 18+
  • Applicant must be clear of any felonies on their record, no exceptions.
  • No Gang Affiliations
  • One Whitelist Job per Character, Example: Applicant cannot hold a job at LSPD/BCSO & Pillbox, or Pillbox and Department of Justice (Lawyers, Judges, etc.) 
  • For EMS: You must have a valid drivers license and be willing to commit 6 Hours of Duty time a week

Please do not DM staff about your application, they will be handled in the order they are received and you will be notified of the result. You must be in the Discord server to be considered.

If you do not receive a response within 7 days you may open a support ticket within the Discord.

Sign in to Google to save your progress. Learn more
Have you read the Escape RP rules and do you understand them? *
1 point
Have you ever been in an RP server before? (knowledge of basic functions)  *
What is your full Discord username? (e.g. User#1234) *
What is your IRL age? *
What is the name of the character you are applying as? (Full Name) *
What position are you applying for? *
How long have you been in the city? *
Why do you want to join the Pillbox Medical staff? Answer in character. *
What differs you from other applicants?  *
What is the first thing you should do when you arrive on a medical scene?
*
1 point
If you receive a radio call for an active shots fired from the police and are notified of multiple people downed and EMS is being requested, how do you as EMS respond to this situation safely and effectively?
*
1 point
You are responding to a Code 4 (All Clear) active shooting scene. PD has given all clear for EMS to enter and has advised that there are suspects under arrest that also require medical treatment, how do you respond?
*
1 point
What are the ABC’s of First Aid Response?
*
1 point
You attempt to deliver a breath through a mask but it does not go in. What is the next step?
*
1 point
When starting an IV what should you do before and after you push medications/fluids through the IV site?
*
1 point
How would you rate your ability to de-escalate situations and handle difficult patients?
*
I do not handle stress well and can't de-escalate
I am an expert at de-escalating and maintaining composure
Please elaborate on how you have responded above and why? *
In your mind, how long should a single EMS call with a single patient take?
*
When responding to an emergency call what motor vehicle safety protocols should be followed? *
1 point
Do you have any felonies on your record? *
1 point
If you are caught committing a felony while on duty you will be fired immediately. Do you understand and agree to these terms? *
1 point
If you are caught stealing or distributing hospital supplies to the public you will be fired immediately. Do you understand and agree to these terms? *
1 point
Important information about your application:
You will be contacted by a government official via Discord to inform you as to whether or not your application has been accepted. If it has, a time will be scheduled to interview you in city. DO NOT MESSAGE STAFF ASKING ABOUT THE STATUS OF YOUR APPLICATION. YOU MAY OPEN A TICKET BUT NOT UNTIL 7 DAYS HAVE PASSED SINCE IT WAS SUBMITTED.  Thanks for your application!
By signing this (in the name of the applying character), you agree that the information provided is truthful and you understand the terms of your employment. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report