1. Personal Information
1.1 Title (Mr/Miss/Mrs/Other): Mr
1.2 First Name: Justin
1.3 Last Name: Ice
1.5 Place of Birth: San Jose California
1.7 Email Address: [email protected]
1.8 Residential Address: San Jose California
1.10 Weight: 65 kg
Attached digital copy
1.2 First Name: Justin
1.3 Last Name: Ice
1.5 Place of Birth: San Jose California
1.7 Email Address: [email protected]
1.8 Residential Address: San Jose California
1.10 Weight: 65 kg
Attached digital copy
2 Reason for Resignation
2.1 End of Employment Reason: RESIGNED
2.2 End of Employment Date: 30/SEP/2024
2.3 Badge Number: #1114
2.4 Position Held: CO 3
2.5 Division: HR, PR, CERT
2.6 Divisional Leader?: N
2.7 Direct Supervisor: Unsure
2.8 Contact Number: Unsure
2.9 Desired Position: CO 2
2.10 Why should we accept you for that position?: I was very effective in my duties as a CO3. I was very productive in HR, PR and CERT and will continue to show this same effort if offered a position back into DOC.
2.11 Why did your employment with the San Andreas Department of Corrections end? Personal Resignation
2.12 Have you had any felony charges against you in the time that you were gone? No
2.13 What have you done since your resignation or termination? I have cut off all ties with Edna Lee
2.2 End of Employment Date: 30/SEP/2024
2.3 Badge Number: #1114
2.4 Position Held: CO 3
2.5 Division: HR, PR, CERT
2.6 Divisional Leader?: N
2.7 Direct Supervisor: Unsure
2.8 Contact Number: Unsure
2.9 Desired Position: CO 2
2.10 Why should we accept you for that position?: I was very effective in my duties as a CO3. I was very productive in HR, PR and CERT and will continue to show this same effort if offered a position back into DOC.
2.11 Why did your employment with the San Andreas Department of Corrections end? Personal Resignation
2.12 Have you had any felony charges against you in the time that you were gone? No
2.13 What have you done since your resignation or termination? I have cut off all ties with Edna Lee
3 Declaration
Signing date 10/03/2025
((4 OOC Section ))
4.1 Forum name: fweasy
4.2 Discord Username: fweasy
4.3 IRL age: 20
4.4 Timezone: CST
4.5 Geographical location: US
4.6 List of characters’ names: Rachel Burrows, Mary Burrows, Brenden Burrows, Tony Cabanna, Emerson lugo, Clara Lopez, Justin ice, Nathaniel Ford, Virgil bertrude, Noah Bryant, Lance Hirano, Social Bathsheba, Caleb McClain
4.2 Discord Username: fweasy
4.3 IRL age: 20
4.4 Timezone: CST
4.5 Geographical location: US
4.6 List of characters’ names: Rachel Burrows, Mary Burrows, Brenden Burrows, Tony Cabanna, Emerson lugo, Clara Lopez, Justin ice, Nathaniel Ford, Virgil bertrude, Noah Bryant, Lance Hirano, Social Bathsheba, Caleb McClain





