1. Personal Information:
1.1 Last Name: Chappelle
1.2 First Name: Léonie
1.3 Middle Name: N/A
1.4 Address: 2005 San Andreas Blvd - Floor 6, Room 2
1.5 City: Los Santos
1.6 State: San Andreas
1.7 Citizenship/Residency:
[x] I am a United States Citizen
[-] I am a permanent resident alien and have applied for U.S. Citizenship
[-] None of the above
1.8 Phone Number: 2474745
1.9 Date Of Birth: 31/JAN/1997
1.10 Gender:
[-] Male
[-] Female
[x] Other
1.11 Ethnic Group / Race (mark only one)
[-] Black
[-] Hispanic
[-] Asian/Pacific Islander
[x] Caucasian
[-] American Indian
[-] Filipino
[-] Middle Eastern
1.12 Height: 5'4"
1.13 Weight: 118 LBS
1.14 Body Fat Percent: 5%
1.15 Hair Color: Blonde
1.16 Eyes Color: Blue
1.17 Visual Acuity : 20/20
2. Education:
2.1 What is your highest level of education? (mark only one)
[-] Some College
[x] Associate's Degree
[-] Bachelor's Degree
[-] Graduate Degree
[-] High School, or/and GED
[-] None of the education statements apply to me
2.2 If you have attended college, what was your major course of study?
[-] Criminal Justice
[-] Business/Economics
[-] General Ed/Undecided
[-] Engineering/Computer
[-] Communications
[-] Psychology/Sociology
[-] Liberal Arts
[-] Education
[-] Science
[x] Other
2.3 If you have served in the military, please indicate which branch. (mark only one)
[-] Army
[-] Navy
[-] Air Force
[-] Marines
[-] Coast Guard
[-] National Guard/Reserves
2.4 Can you communicate effectively and efficiently in the English language?
[x] Yes
[-] No
2.5 What languages aside English do you speak fluently?
[-] Spanish
[-] Hindi
[-] Arabic
[-] Portuguese
[-] Bengali
[-] Russian
[-] Chinese
[-] Tagalog
[x] Japanese
[-] Dutch
[-] Punjabi/Lahnda
[-] Serbian
[-] Vietnamese
[-] Armenian
[-] Korean
[-] Persian
[x] Other
3. Experience & Employment:
Experience and Employment includes establishments or organisations you may have worked for, for voluntary or profitable purposes and should be separated below appropriately, with more fields implemented if required;
3.1.1 Name of Company: Muscle Peach Bar
3.1.2 Nature of Work: Served drinks and cocktails
3.1.3 Reason for Dismissal: Left of own accord
3.1.4 Employer, if applicable: N/A
3.1.5 Rank, if applicable: N/A
3.1.6 Position, if applicable: Bartender
3.1.7 Length of Employment: 1 month
3.2.1 Name of Company: Cosmétiques Exquis
3.2.2 Nature of Work: Ran the business, handled everything about it
3.2.3 Reason for Dismissal: Sold the business after falling into bankruptcy
3.2.4 Employer, if applicable: Myself
3.2.5 Rank, if applicable: N/A
3.2.6 Position, if applicable: Manager
3.2.7 Length of Employment: 2-3 months
3.3.1 Name of Company: The Night Owl
3.3.2 Nature of Work: Serve groups or individuals by seating them, taking orders, and preparing orders.
3.3.3 Reason for Dismissal: N/A, working part time.
3.3.4 Employer, if applicable: Rhea Moraine
3.3.5 Rank, if applicable: N/A
3.3.6 Position, if applicable: Waiter
3.3.7 Length of Employment: 1 month and counting.
4. Medical History:
4.1 Do you have a diagnosed physical or mental medical condition?
[-] Yes
[x] No
4.1.1 If yes: N/A
5. Licenses & Permits:
5.1.1 Do you possess a valid San Andreas Driving License?
[x] Yes
[-] No
5.1.2 If yes, do you possess any warnings on your license?
[-] Yes
[x] No
5.1.3 Have or has your Driving License ever been revoked?
[-] Yes
[x] No
5.2.1 Do you possess an Aviation License?
[-] Yes
[x] No
5.2.2 Have or has your Aviation License ever been revoked?
[-] Yes
[-] No
5.3.1 Do you possess a Firearms License?
[-] Yes
[x] No
5.3.2 If yes, please provide a direct link to your accepted firearms application: ACCESS
5.3.3 Have or has your Firearms License ever been revoked?
[-] Yes
[-] No
6. Criminal & Citation Record:
Criminal and Citation Record includes encounters with the law, from a citation (e.g. vehicle ticket, etc) to a felony (e.g. evading a peace officer, etc), if you were arrested or if you were charged, all separated below appropriately, with more fields implemented if required;
6.1.1 Nature of Sentence:
[-] Infraction
[-] Misdemeanor
[-] Felony
6.1.2 Date of Sentence: DD/MMM/YYYY
6.1.3 Time served, if applicable:
6.2.1 Nature of Sentence:
[-] Infraction
[-] Misdemeanor
[-] Felony
6.2.2 Date of Sentence: DD/MMM/YYYY
6.2.3 Time served, if applicable:
7. Release & Waiver:
Having made application for employment with the City of Los Santos, I hereby authorize for one year from the date of execution hereof, any authorized representative of the City bearing this release, or a copy of it, to obtain any information pertaining to my employment, credit history, education, residence, academic achievement, personal information, work performance, background investigations, polygraph examinations, any and all internal affairs investigations and disciplinary records, including any files which are deemed to be confidential and/or sealed. I also authorize release of any criminal justice records of arrests, citations, detentions, probation and parole records, and police reports. I hereby direct you to release this information upon request of the bearer. I further authorize the City to make photographic copies of these records. This release is executed with full knowledge and understanding that the information is for the official use of the City of Los Santos. I hereby grant consent for the City to furnish the information described above to third parties including, but not limited to appropriate law enforcement agencies or authorities, in the course of fulfilling its official responsibilities. I hereby acknowledge and agree that I waive any right or opportunity to read or review any of the information provided in response to this investigation. I also waive any right or opportunity to read or review any background investigation report prepared by the City. I also acknowledge and agree that if I seek employment with a different law enforcement agency (either within the City or outside), my background investigation files will be disclosed to that agency for the limited purpose of determining my eligibility for employment as a peace officer. I further acknowledge and agree that if my background investigation files are disclosed to a prospective employer solely for such limited purpose, the files will remain confidential and will not become part of my personnel file. I further agree that in the event these materials are provided to another agency pursuant to this paragraph, that I waive any right to see such materials (or any summaries thereof) in that agency's possession regardless of how that agency treats such documents internally. I hereby release you, as my employer, former employer, prospective employer, or representative thereof and any police agency, school, college, university, or other educational institution, credit bureau, lending institution, consumer reporting agency, or retail business establishment including any of their officers, employees, or related personnel, both individually and collectively, from any and all liability for damage of whatever kind, which may at any time result to me, my heirs, or my assigns because of compliance with this authorization and request to release information, or any attempt to comply with it.

I certify that the answers contained within this Personal Background Application are true and complete to the best of my knowledge. By agreeing below I hereby authorize investigation of all statements contained within this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee from the recruitment process at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that any false or misleading information given in my application or interview(s) may result in denial and bar from re-application. I understand, also, that I am required to abide by all rules and regulations of the employer.

7.1 Full Name (Signature):
7.2 Full Name (Print Name): _Léonie Chappelle_
7.3 Date: 08/AUG/2019
8. (( Out Of Character )):
8.1 Name/Nickname: Jett (Mostly go by ArminHammer or Armin as an online alias)
8.2 Gender:
[x] Male
[-] Female
[-] Other
8.3 Age: 18
8.4 Time playing GTA-World: 643 hours of playtime
8.5 Time playing GT:MP/FiveM/RageMP: N/A
8.6 List ALL current and past character names:
Léonie Chappelle > Jessica Shados > Isabella Hernendez
Ricardo Rodriguez > Melissa Vasquez > Firstname Lastname
8.7 List ALL past official/unofficial faction membership(s) along with your last rank and the reason you left or were removed:
Faction Name - Rank - Reason for Leaving/Getting Removed
Faction Name - Rank - Reason for Leaving/Getting Removed
8.8 If you were in the LSPD before, state the date when you resigned or were terminated: DD/MMM/YYYY
8.9 If you were in the LSPD before, post a link to your Reinstatement Request where you were authorized to go through Recruitment: ACCESS
8.10.1 Are you currently in an official OR unofficial faction with another account?
[x] Yes
[-] No
8.10.2 If 8.10.1 was answered with 'Yes', state which factions:
Jamestown Street Mafia 13 - Local on one character, member on another.
Faction Name - Rank
8.10.3 If official, post a link to your double factions approval from PD's side (Refer to rule 9): ACCESS
8.11 GTA-World Forum Name: ArminHammer831
8.12 GTA-World Forum Profile Link: ACCESS
8.13 Link an unedited screenshot of your admin record for ALL your accounts:
ArminHammer - ACCESS
UCP NAME - ACCESS
8.14 Link an unedited screenshot of your in-game statistics (accessed via /stats) for ALL characters:
Léonie Chappelle - ACCESS ((I do not own Cosmétiques Exquis anymore as the property has been removed per my request.))
Isabella Hernendez - ACCESS
Ricardo Rodriguez - ACCESS
Melissa Vasquez - ACCESS
8.15 Do you possess a working microphone?
[x] Yes
[-] No
8.15.1 If 8.15 was answered with 'No', post a link to your approved no-mic permission request: ACCESS
8.16 What languages aside English do you speak fluently?
[-] Spanish
[-] Hindi
[-] Arabic
[-] Portuguese
[-] Bengali
[-] Russian
[-] Chinese
[-] Tagalog
[-] Japanese
[-] Dutch
[-] Punjabi/Lahnda
[-] Serbian
[-] Vietnamese
[-] Armenian
[-] Korean
[-] Persian
[-] Other
8.17 Fingerprints Sample: * Firstname Lastname provides fingerprints of all of their fingers at Mission Row Police Station at 19/AUG/2019.
8.18 Drug Test: * Léonie Chappelle arrives at Mission Row Police Station on 19/AUG/2019 to get a drug test taken.
8.18.1 Drug Test Result: Negative on drug use.
8.19 Release & Waiver:
By submitting this Personal Background Application I acknowledge that I have not been banned from applying for the LSPD and am in good standing with the LSPD. I understand and accept the fact that if proved any OOC lying has taken place in my submitted application that I am responsible and will face admin disciplinary action for OOC lying in a formal application with deceit. I hereby claim that nothing in this application is submitted to be false or of a deceitful nature and everything aforementioned in this application is of 100% accuracy and honesty. I take full responsibility for any recruitment policy violation.

I understand the LSPD and its subordinates (Recruitment & Academy Officers) have every right to OOC deny my application, or ban me from applying for whatever reason(s), without reason or justification. I also agree that any attempt to transfer over to another law enforcement or government faction has to be agreed upon by the faction leader of the LSPD before it takes place. I understand that this application is of an at-will relationship and will abide by all recruitment policies.
Signature: ArminHammer831