Christopher Selas

St. Christina's Psychiatric Rehabilitation Center & St. Christina's Medical Center.

Please use blue or black ink when filling out this application for employment. Please answer all questions to the best of your ability. For further information or guidance, please contact a member of St. Christina staff at the number provided in our guide brochure.

Full Name: SELAS, CHRISTOPHER

Age: 30
DOB: 09/21/1980
Gender: Male
Address: 3113 Winston Avenue
City: Slidell
State: Louisiana
Ethnicity: Caucasian
Height: 5 foot 11
Weight: 190 pounds
Eye Color: Grey
Hair Color: dirty blonde
Distinguishing Marks: I have a muddle of soft scars near my right ear and down that side of my neck. It was from a childhood accident.


Medical History:

Be advised that answers to this section will not have bearing on your eligibility for employment at the St. Christina Facilities. The information you provide will not be diverged to third parties.

Please list any and all allergies and age of onset below:
None

Are you aware of any ongoing medical issues?:
I'm not sure if this counts, but I can't hear a thing out of my right ear. I've been deaf in that side since I was twelve. Me and some of my buddies were just passing some time at the baseball diamond. We were goofing off. Doing things we probably shouldn't have been doing. I bent over to pick up a stray ball and my best bud swung the aluminum bat and it hit me right in the side of my head under my temple. Broke my skull and the bones near my ear canal real bad and some of the bone shards pierced my eardrum. I had a couple surgeries to repair all the broken bones, but there was nothing they could do to save my hearing.

If yes, list age of diagnoses by medical professionals, or age of onset below:
Been deaf in my right ear since I was 12.

If you are receiving treatment for an ongoing medical complaint, please list prescriptions, strength of dose, frequency of dose, and other treatment plans below:
N/A

Do you smoke tobacco, consume alcohol, or use street drugs? If yes, please list number of packs per day, number of drinks per day and/or names of consumed drugs below:
None of the above. Being in the medical profession and knowing what that stuff can do to you will scare you off of it any day.



Employment Interview:

To which location are you applying for employment? Please choose: St. Christina Psychiatric Rehabilitation Center/St. Christina Medical Center:
St. Christina's Psychiatric Rehabilitation Center

For which position(s) are you applying within the St. Christina Facilities? Please also list the facility to which you are applying:
An Orderly

Why do you feel that you would be the best choice for this position?:
My knowledge of how to treat minor wounds and ailments. Plus I'm a very patient individual. I don't get frustrated or mad easily.

Do you possess necessary qualifications for the position(s) for which you are applying? If yes, please list official qualifications below:
I have a bachelor's degree in minor medicine.

Have you ever worked in a psychiatric or medical facility before? If yes, please provide facility name and dates of employment below:
Yes. Hadley Institute--February to November of 2010
I left due to issues at home due to a recent hurricane that had blown through the area.

Are you aware of any mental, physical or emotional impediments whatsoever that you feel may interfere with your ability to perform in the position(s) for which you are applying? These may include, but are not limited to substance addictions, medical issues, moral complications or difficulties working under pressure or strict guidance. If yes, please explain below:
No.



Qualification History:

What is the highest level of education you have completed? Please list year of graduation and all courses completed below:
Bachelor's Degree in Minor Medicine -- completed in 2004

Please provide the name(s) of schools from which you have graduated below:
Bonne Ecole Elementary School
Slidell Junior High School
Pope John Paul II Catholic High School
Louisiana State University -- graduated in 2004

Do you possess any other skills that you feel may benefit your ability to perform in the position(s) for which you are applying? Examples include extra languages, history of customer service and work in the care industries, etc. If yes, please list skills below:
My calm demeanor. I'm not one who gets overly flustered or angry easily. I know how to keep my cool under pressure.

Please list all previous employment below, including locations and approximate dates of employment:
Slidell Memorial Hospital 2004 to Jan. 2010

How do you feel your previous employment will benefit your ability to perform in the position(s) for which you are applying?:
They taught me how to work under pressure. To think on a dime. To be alert and ready for anything and everything.


Legal History:

Be advised that answers to this section will not have bearing on your eligibility for employment at the St. Christina Facilities. The information you provide will not be diverged to third parties.

Do/did you ever abuse controlled substances, including but not limited to prescription medications, street drugs or alcohol? If yes, please explain below:
No

Have you ever been convicted of a crime? If yes, please list conviction, age of conviction and circumstances below:
No.

If you answered yes to the above, please list sentences connected to these convictions below:
N/A

Have you ever knowingly committed a crime for which you were not convicted or sentenced? If yes, please explain below:
I have never done nor been convicted of anything though I was kept in jail overnight for just being in the wrong place at the wrong time. Someone had just been murdered. They questioned me, realized I had nothing to do with it and let me be.



Personal Interview:

Describe yourself to the best of your ability in only five words:
Sensible, patient, calm under pressure

Describe how you would handle a situation in which a patient may become violent towards themselves or others:
I would first take them out of that situation, and then try to talk to them. Ask them what happened. Why did they feel the need to do what they did? And then if I need to, I'll turn them over to someone else. Never would I hit someone though. That's not how it works.

If your immediate supervisor instructed you to complete a task to which you felt morally opposed, how would you handle the situation?:
I would first ask them if they were absolutely sure that they wanted me to do it. Then I would do. Reluctantly but I would do it. Then when I was alone and only when I was alone, I would decompress.

If you discovered a fellow employee breaking facility rules and endangering patients or staff, how would you handle the situation?:
I would confront them about it. Ask them if they knew what they were doing was wrong. Then if it kept up, I would go to their supervisor.

If hired, would you agree to sign a binding non-disclosure agreement, knowing fully that you would hence forth be unable to discuss any procedures, methods, patient information or staff information with anyone outside of the St. Christina Facilities and their staff?:
Yes

If hired, would you agree to follow any and all instructions given to you by facility supervisory staff and administrative staff without question, and knowing that you would be unable to discuss decisions with outside parties?:
Yes


Green Ridge Residential Registration:

Please list your chosen address within Green Ridge:
13 Seaside Drive: Apartment 102

Please list any dependents under the age of thirteen, who reside with you:
None

Please list your marital status. Single/Married/Divorced/Widowed:
Single.

If married, please provide the name of your spouse if he/she resides with you:
None



Employee Signature:

By applying for and accepting employment within any of our facilities, you hereby agree to abide by all rules and terms of service outlined in employee handbooks, rules and codes of conduct. You hereby agree to undergo a background check and/or drug test should GR Biotech feel it pertinent prior to accepting your application for employment. You hereby agree to undergo any further, random drug testing should it be necessary. You hereby agree to communicate and work in accordance with fellow facility staff in regards to the recommendations, demands, or outlines for treatment of the patients in the facility, and to comply with your immediate supervisor should she/he suggest differently. You hereby agree to waive your right to hold GR Biotech and its Subsidiaries responsible for any personal harm or distress incurred during or after employment. You hereby waive your right to communicate with any non-St. Christina Facility staff regarding any facility methods or procedures or patient information or treatments. GR Biotech and its Subsidiaries reserve the right to add or amend these terms of service at any time.

By opting to relocate to Green Ridge Island and the town of Green Ridge, you hereby agree to abide by all Green Ridge Island laws and the instructions of Green Ridge Security, Green Ridge Town Officials, and St. Christina Facility administrators. You hereby waive rights granted to you by the state of Oregon or any other state belonging to the United States of America or to any other country or county. You acknowledge that Green Ridge Island, the town of Green Ridge and the St. Christina facilities are not subject to any state laws. You acknowledge that any personal property transported to Green Ridge Island becomes the responsibility of GR Biotech and its subsidiaries. You hereby waive your right to register to vote in any states within the continental United States, within the states of Alaska and Hawaii, and within any US territories. You waive your right to representation by any political parties or persons within the aforementioned US locations or other countries. You acknowledge that you are legally bound not to disclose information regarding Green Ridge laws, protocols or procedures of any kind with persons not residing on Green Ridge Island. You acknowledge that visitors to Green Ridge Island become the sole responsibility of the undersigned, and are subject to the same laws, protocols and procedures as Green Ridge island residents during their stay. You acknowledge that visitors to Green Ridge Island are subject to surveillance by Green Ridge officials and employees, and may be removed from the island without notice. You acknowledge that any minors under the age of thirteen (13) that are claimed as dependents remain the sole responsibility of the undersigned, and are subject to the same laws, protocols and procedures as all Green Ridge Island residents. GR Biotech and its Subsidiaries reserve the right to add to or amend these terms of service at any time.

Please sign and date below:

Christopher Selas 05/30/2011

LOL! This is what I get for doing this at 4am. I knew I was bound to forget something. Ahhh this is hilarious. Its been changed.

Thankyou for taking interesting in joining our dedicated team of St. Christina's staff. Below, you'll find your employment and residential details. Whether you applied to our Medical Center or our Psychiatric Rehabilitation Center, we ask that you take this time to familiarise yourself with pertinent handbooks, rules and regulations, and we welcome you to green Ridge and to the St. Christina's team.

Job Title: Adolescent Buildings Orderly
Location: St. Christina Psychiatric Rehabilitation Center
Residential Address: 13 Seaside Drive Apt. 102


Final Application Approval Steps for Players:


Before you can begin play on STC, you must complete these final steps:

• Sign up your playby on the faceclaim.
  
• Sign up for the who plays who list.
  
• Sign up for your assigned membergroup (shown above) HERE (Pay close attention to pick the correct usergroup listed on this approval stamp! Characters that are not signed up for their correct membergroups after approval will be subject to deletion during the next activity check.)
  
• Familiarise Yourself with your Staff & Resident Handbooks, located in the St. Christina's Rosters and Information, and Green Ridge Rosters & Information forums, on the main board.

Code:

[center][font=garamond][size=22][color=#555555][b] -File Note- [/b][/color][/size][/font]

_____________________________________________________________[/center]

[b]Employee Name:[/b] Selas, Christopher
[b]Job Title:[/b] Adolescent Buildings Orderly
[b]Location:[/b] St. Christina Psychiatric Rehabilitation Center
[b]Residential Address:[/b] 13 Seaside Drive/Apt. 102

[center]_____________________________________________________________[/center]

[b]Note Subject:[/b] (Behavioural Report, Progress Report, Procedure Report, Disciplinary Report, etc.)

[b]Note Contents:[/b] (Explain behaviour observations, procedures, disciplinary actions, medical reports, etc. here)

[b]Note Author:[/b] (Your character name here.)

[b]Other:[/b] (Optional extra notes here.)