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- [code]
- [divbox=white][center][img]https://i.imgur.com/wg4RsRM.png[/img]
- [size=150][b]Firearm License Application[/b][/size]
- [size=130]Personal History Questionnaire[/size][/center]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [border][i]This application is a permanent record. All information must be typed or neatly printed by the applicant. Illegible or incomplete applications will not be accepted. Failure to fully explain your answers, intentionally making a false statement on any material fact or practices or attempting any deception or fraud may disqualify you from the selection process immediately.[/i][/border]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [legend=Personal Information]Legal Name
- [color=#FFFFFF]BREAK[/color]Last:
- [color=#FFFFFF]BREAK[/color]First:
- [color=#FFFFFF]BREAK[/color]Middle:
- Sex:
- Height:
- Weight:
- Hair:
- Eyes:
- Citizenship Status (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]US Citizen
- [color=#FFFFFF]BREAK[/color]Naturalized Citizen
- [color=#FFFFFF]BREAK[/color]Legal Alien
- Date of Birth:
- Place of Birth (city, county, state and country):
- Present Address
- [color=#FFFFFF]BREAK[/color]Number, street and apt. no:
- [color=#FFFFFF]BREAK[/color]City:
- [color=#FFFFFF]BREAK[/color]State:
- [color=#FFFFFF]BREAK[/color]Name of Country:
- Contact
- [color=#FFFFFF]BREAK[/color]Phone no.:
- [color=#FFFFFF]BREAK[/color]E-mail address:
- Marital Status (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]Single
- [color=#FFFFFF]BREAK[/color]Married
- [color=#FFFFFF]BREAK[/color]Widowed
- [color=#FFFFFF]BREAK[/color]Separated
- [color=#FFFFFF]BREAK[/color]Annulled
- [color=#FFFFFF]BREAK[/color]Divorced
- [/legend]
- [legend=Experience and Employment]
- - Ex-Police Officers Only -
- Have you ever applied to the Los Santos Police Department before (for any position)?: Yes/No
- [color=#FFFFFF]BREAK[/color]Submitted application only
- [color=#FFFFFF]BREAK[/color]Oral interview taken
- [color=#FFFFFF]BREAK[/color]Oral interview failed
- [color=#FFFFFF]BREAK[/color]Background investigation conducted
- [color=#FFFFFF]BREAK[/color]Background pending
- [color=#FFFFFF]BREAK[/color]Disqualified
- [color=#FFFFFF]BREAK[/color]Was not selected
- [color=#FFFFFF]BREAK[/color]Hired or job offer made
- [color=#FFFFFF]BREAK[/color]Withdrew application or denied
- [color=#FFFFFF]BREAK[/color]Other
- [/legend]
- [legend=Education]
- Please indicate your current education status. (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]I possess a high school diploma from a US institution
- [color=#FFFFFF]BREAK[/color]I possess a two-year college degree from an accredited college.
- [color=#FFFFFF]BREAK[/color]I possess a four-year degree from an accredited college or university.
- [color=#FFFFFF]BREAK[/color]I passed the GED test meeting the required scores.
- [color=#FFFFFF]BREAK[/color]I passed the San Andreas High School Proficiency Examination.
- Academia Details
- [color=#FFFFFF]BREAK[/color]Name of US High School Attended:
- [color=#FFFFFF]BREAK[/color]Address of US High School Attended:
- [color=#FFFFFF]BREAK[/color]From: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]To: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]Did you graduate?: Yes/No
- [color=#FFFFFF]BREAK[/color]Name of College or University:
- [color=#FFFFFF]BREAK[/color]Address of College or University:
- [color=#FFFFFF]BREAK[/color]Degree Type:
- [color=#FFFFFF]BREAK[/color]From: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]To: MONTH YEAR
- [/legend]
- [legend=Legal]
- Either as an adult or a juvenile, have you ever been arrested or charged with a criminal act?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Charges:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Results:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Either as an adult or a juvenile, have you ever been detained for a criminal investigation, or named as a suspect in a police report, or held on suspicion, or questioned, or fingerprinted by any law enforcement agency or military authority, even as a victim or witness?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Charges or Reason for Investigation:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- Have you ever received a misdemeanor citation in lieu of going to jail?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever been placed on court probation?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Are you currently on probation?: Yes/No
- Have you ever had a warrant issued for your arrest or have you ever failed to appear in court on a criminal matter?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever been reported to a law enforcement agency as a missing person or runaway?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever applied in the past for a permit to carry a concealed weapon?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date Applied:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Was permit granted?:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Weapon:
- Have you ever participated in an unlawful demonstration?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever engaged in civil disobedience?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- [/legend]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [border][i]I hereby certify that all statements made in this questionnaire are true and complete. I understand that any discrepancies, misstatements, omissions, and/or falsifications will be cause for disqualification, for my name to be removed from the eligibility list, or for immediate termination if an appointment has been made.[/i]
- [color=#FFFFFF]BREAK[/color]Applicant's Signature:
- [color=#FFFFFF]BREAK[/color]Date:
- [/border]
- [/divbox]
- [/code]
- [divbox=white][center][img]https://i.imgur.com/wg4RsRM.png[/img]
- [size=150][b]Firearm License Application[/b][/size]
- [size=130]Personal History Questionnaire[/size][/center]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [border][i]This application is a permanent record. All information must be typed or neatly printed by the applicant. Illegible or incomplete applications will not be accepted. Failure to fully explain your answers, intentionally making a false statement on any material fact or practices or attempting any deception or fraud may disqualify you from the selection process immediately.[/i][/border]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [legend=Personal Information]Legal Name
- [color=#FFFFFF]BREAK[/color]Last:
- [color=#FFFFFF]BREAK[/color]First:
- [color=#FFFFFF]BREAK[/color]Middle:
- Sex:
- Height:
- Weight:
- Hair:
- Eyes:
- Citizenship Status (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]US Citizen
- [color=#FFFFFF]BREAK[/color]Naturalized Citizen
- [color=#FFFFFF]BREAK[/color]Legal Alien
- Date of Birth:
- Place of Birth (city, county, state and country):
- Present Address
- [color=#FFFFFF]BREAK[/color]Number, street and apt. no:
- [color=#FFFFFF]BREAK[/color]City:
- [color=#FFFFFF]BREAK[/color]State:
- [color=#FFFFFF]BREAK[/color]Name of Country:
- Contact
- [color=#FFFFFF]BREAK[/color]Phone no.:
- [color=#FFFFFF]BREAK[/color]E-mail address:
- Marital Status (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]Single
- [color=#FFFFFF]BREAK[/color]Married
- [color=#FFFFFF]BREAK[/color]Widowed
- [color=#FFFFFF]BREAK[/color]Separated
- [color=#FFFFFF]BREAK[/color]Annulled
- [color=#FFFFFF]BREAK[/color]Divorced
- [/legend]
- [legend=Experience and Employment]
- - Ex-Police Officers Only -
- Have you ever applied to the Los Santos Police Department before (for any position)?: Yes/No
- [color=#FFFFFF]BREAK[/color]Submitted application only
- [color=#FFFFFF]BREAK[/color]Oral interview taken
- [color=#FFFFFF]BREAK[/color]Oral interview failed
- [color=#FFFFFF]BREAK[/color]Background investigation conducted
- [color=#FFFFFF]BREAK[/color]Background pending
- [color=#FFFFFF]BREAK[/color]Disqualified
- [color=#FFFFFF]BREAK[/color]Was not selected
- [color=#FFFFFF]BREAK[/color]Hired or job offer made
- [color=#FFFFFF]BREAK[/color]Withdrew application or denied
- [color=#FFFFFF]BREAK[/color]Other
- [/legend]
- [legend=Education]
- Please indicate your current education status. (Remove Inapplicable)
- [color=#FFFFFF]BREAK[/color]I possess a high school diploma from a US institution
- [color=#FFFFFF]BREAK[/color]I possess a two-year college degree from an accredited college.
- [color=#FFFFFF]BREAK[/color]I possess a four-year degree from an accredited college or university.
- [color=#FFFFFF]BREAK[/color]I passed the GED test meeting the required scores.
- [color=#FFFFFF]BREAK[/color]I passed the San Andreas High School Proficiency Examination.
- Academia Details
- [color=#FFFFFF]BREAK[/color]Name of US High School Attended:
- [color=#FFFFFF]BREAK[/color]Address of US High School Attended:
- [color=#FFFFFF]BREAK[/color]From: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]To: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]Did you graduate?: Yes/No
- [color=#FFFFFF]BREAK[/color]Name of College or University:
- [color=#FFFFFF]BREAK[/color]Address of College or University:
- [color=#FFFFFF]BREAK[/color]Degree Type:
- [color=#FFFFFF]BREAK[/color]From: MONTH YEAR
- [color=#FFFFFF]BREAK[/color]To: MONTH YEAR
- [/legend]
- [legend=Legal]
- Either as an adult or a juvenile, have you ever been arrested or charged with a criminal act?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Charges:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Results:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Either as an adult or a juvenile, have you ever been detained for a criminal investigation, or named as a suspect in a police report, or held on suspicion, or questioned, or fingerprinted by any law enforcement agency or military authority, even as a victim or witness?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Charges or Reason for Investigation:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- Have you ever received a misdemeanor citation in lieu of going to jail?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Police Agency:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever been placed on court probation?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Are you currently on probation?: Yes/No
- Have you ever had a warrant issued for your arrest or have you ever failed to appear in court on a criminal matter?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever been reported to a law enforcement agency as a missing person or runaway?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever applied in the past for a permit to carry a concealed weapon?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Date Applied:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Was permit granted?:
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Weapon:
- Have you ever participated in an unlawful demonstration?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- Have you ever engaged in civil disobedience?: Yes/No
- [color=#FFFFFF]BREAK[/color]If yes
- [color=#FFFFFF]BREAK[/color][color=#FFFFFF]BREAK[/color]Explain Circumstances:
- [/legend]
- [color=#FFFFFF]BREAK[/color]
- [hr]
- [color=#FFFFFF]BREAK[/color]
- [border][i]I hereby certify that all statements made in this questionnaire are true and complete. I understand that any discrepancies, misstatements, omissions, and/or falsifications will be cause for disqualification, for my name to be removed from the eligibility list, or for immediate termination if an appointment has been made.[/i]
- [color=#FFFFFF]BREAK[/color]Applicant's Signature:
- [color=#FFFFFF]BREAK[/color]Date:
- [/border]
- [/divbox]
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