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- [divbox=white][center][img]http://i.imgur.com/I81A1Uo.png[/img]
- [size=150]LOS SANTOS POLICE DEPARTMENT[/size]
- [size=125][b]Preliminary Background Application Form[/b][/size][/center]
- [center][b][size=150]Personal[/size][/b][/center]
- [list=none][b]A1.[/b] Last Name: Woods
- [b]A2.[/b] First Name: Joel
- [b]A3.[/b] Middle Name:
- [b]A4.[/b] Height: 5' 10"
- [b]A5.[/b] Weight: 157lbs
- [b]A6.[/b] Hair: Brown
- [b]A7.[/b] Eyes: Blue
- [b]A8.[/b] Date of Birth: 27/1/1993
- [b]A9.[/b] Phone Number: 841186
- [b]A10.[/b] Residence Address: 306 Sharkdale Street, Verona Beach, Los Santos
- [b]A11.[/b] Sex.
- [list=none][X] Male
- [-] Female
- [/list]
- [b]A12.[/b] Ethnicity.
- [list=none][-] Black
- [-] Hispanic
- [X] White
- [-] Asian
- [-] Other
- [/list]
- [b]A13.[/b] Citizenship.
- [list=none][X] I am a United States Citizen
- [-] I am a Naturalized citizen
- [-] I am a legal alien and have applied for U.S. Citizenship
- [-] None of the above
- [/list]
- [b]A14.[/b] Names.
- List all names (aliases and nicknames) you have used or have been known by.
- [list=none]
- 1)
- 2)
- 3)
- [/list]
- [b]A15.[/b] Tattoos.
- List and describe all tattoos and where they are located.
- [list=none]
- 1)
- 2)
- 3)
- [/list]
- [b]A16.[/b] Languages.
- Do you speak any of the languages below fluently? If yes, check all boxes that apply.
- [list=none][-] Spanish
- [-] Chinese
- [-] Tagalog
- [-] Korean
- [-] Armenian
- [-] Vietnamese
- [-] Persian
- [-] Japanese
- [-] Russian
- [-] Arabic
- [-] Serbian
- [/list]
- [/list]
- [center][b][size=150]Education[/size][/b][/center]
- The Commission on Peace Officer Standards and Training requires a peace officer to possess a US high school diploma or its
- equivalent.
- Please answer the following questions by checking all the boxes that apply.
- [list=none][b]B1.[/b] Please check the boxes if you meet the requirement.
- [list=none][X] I possess a high school diploma from a US institution.
- [-] I possess a two-year college degree from an accredited college.
- [X] I possess a four-year degree from an accredited college or university.
- [-] I passed the GED test meeting the required scores.[/list]
- [b]B2.[/b] If you have attended college, what was your major course of study?
- [list=none][-] Criminal Justice
- [-] Business/Economics
- [-] General Ed/Undecided
- [-] Engineering/Computer
- [-] Communications
- [-] Psychology/Sociology
- [-] Liberal Arts
- [-] Education
- [X] Science
- [-] Other[/list]
- [b]B3.[/b] Have you ever been placed on academic probation, suspended, or expelled from any high school, university, or trade school?
- [list=none][-] Yes
- [X] No
- [i]If yes, please explain:[/i]
- [/list][/list]
- [hr][/hr]
- [center][b][size=150]Experience and Emplyoment[/size][/b][/center]
- Beginning with your most current employment, list [b]every[/b] job, including military service. Account for all time periods. Jobs include self-employment, part-time jobs, full-time jobs, temporary work, volunteer work, and internships. You must list all employment regardless of the length of employment.
- [list=none][b]C1.[/b] Employment History.
- [list=none]Do you object to contacting your employer(s) prior to you being accepted? Yes [-] No [-]
- [i]If yes, please explain:[/i]
- • Company Name:
- • Position:
- • Specific Duties:
- • Reason for leaving (be specific):
- • Employed from - to: DD/MMM/YYYY - DD/MMM/YYYY
- • Company Name:
- • Position:
- • Specific Duties:
- • Reason for leaving (be specific):
- • Employed from - to: DD/MMM/YYYY - DD/MMM/YYYY
- [/list]
- [b]C2.[/b] If you have served in the military, please indicate which branch.
- [list=none][-] Army
- [-] Navy
- [-] Air Force
- [-] Marines
- [-] Coast Guard
- [-] National Guard/Reserves[/list]
- [b]C3.[/b] If you have served in the military, please input your Military Occupational Specialty Code:
- [b]C4.[/b] Does your employment history include any of the following? (Check all boxes that apply to you. Leave blank if no boxes apply.)
- [list=none][-] Terminated from any job or resigned to avoid termination
- [-] History of discipline, unsatisfactory work performance, absenteeism, or tardiness
- [-] No history of achievement through promotion or increased responsibilities
- [-] Numerous short-term, entry-level jobs in a variety of fields
- [/list][/list]
- [hr][/hr]
- [center][b][size=150]Applications with other agencies[/size][/b][/center]
- Have you [b]ever[/b] applied for any other law enforcement agency (city, county, state, or federal agencies)? If yes, list [b]EVERY[/b] agency you have applied with. [i]Start with the most recent. All agencies [b]MUST be listed regardless of the outcome or current status. Check all boxes that apply for each agency.[/b][/i]
- [list=none][b]D1.[/b] List Agencies.
- [list=none]• Name of agency:
- • Position:
- • Date applied:
- • Outcome:
- [-] Submitted application only
- [-] Took written test
- [-] Failed written test
- [-] Oral interview taken
- [-] Failed oral interview
- [-] Disqualified/Banned
- [-] Was not selected
- [-] Withdrew application or declined
- [-] Other
- • Name of agency:
- • Position:
- • Date applied:
- • Outcome:
- [-] Submitted application only
- [-] Took written test
- [-] Failed written test
- [-] Oral interview taken
- [-] Failed oral interview
- [-] Disqualified/Banned
- [-] Was not selected
- [-] Withdrew application or declined
- [-] Other
- [/list][/list]
- [hr][/hr]
- [center][b][size=150]Motor vehicle operation & insurance[/size][/b][/center]
- Please answer the following questions by checking all the boxes that apply.
- [list=none][b]E1.[/b] Do you have a driver's license issued within the State of San Andreas?
- [list=none][X] Yes
- [-] No[/list]
- [b]E2.[/b] List all vehicles that you own and/or operate that are registered to you.
- [list=none]• Year:
- • Make/Model:
- • Color:
- • License number and state:
- • Is the vehicle currently registered? [-] Yes [-] No
- • Is the vehicle currently insured? [-] Yes [-] No
- • Year:
- • Make/Model:
- • Color:
- • License number and state:
- • Is the vehicle currently registered? [-] Yes [-] No
- • Is the vehicle currently insured? [-] Yes [-] No
- [/list]
- [b]E3.[/b] In the past five months, what is your total number of at-fault traffic accidents and traffic citations for moving violations? (Moving violations include, but are not limited to: speeding; failed to stop for posted stop sign or red signal; illegal double parking, U-turns or lane changes; and following too close, double parking, helmet law, and carpool lane violations.)
- [list=none][X] None
- [-] 1 - 2
- [-] 3 - 4
- [-] 5 or more[/list]
- [b]E4.[/b] Has your driver's license ever been suspended, revoked, or placed on negligent operator’s probation by any state, including
- San Andreas?
- [list=none][-] Yes
- [X] No
- [i]If yes, please explain (Give state, dates and reasons):[/i]
- [/list][/list]
- [hr][/hr]
- [center][b][size=150]Legal[/size][/b][/center]
- Please answer the following questions by checking all the boxes that apply.
- [list=none][b]F1.[/b] Are you delinquent in any payments you owe for credit cards, loans, child/spousal support, utility bills, taxes, or other debts?
- [list=none][-] Yes
- [X] No[/list]
- [b]F2.[/b] Are you now, or have you ever been, a member of any organized association, movement, group, or combination of persons which advocated or advocates the overthrow of our constitutional form of government by any means other than the democratic procedures provided by our form of government?
- [list=none][-] Yes
- [X] No[/list]
- [b]F3.[/b] Are you now, or have you ever been, a member of any organized association, movement, group, or combination of persons which advocated or advocates acts of force or violence to deny other persons their rights under the Constitution of the United States by unconstitutional means?
- [list=none][-] Yes
- [X] No[/list]
- [b]F4.[/b] Have you ever been arrested or convicted of a misdemeanor offense as a juvenile or as an adult?
- [list=none][-] Yes
- [X] No[/list]
- [b]F5.[/b] Have you ever received a misdemeanor citation in lieu of going to jail?
- [list=none][-] Yes
- [X] No[/list]
- [b]F6.[/b] Have you ever been arrested or convicted of a felony offense as a juvenile or as an adult?
- [list=none][-] Yes
- [X] No[/list]
- [b]F7.[/b] Have you ever had a warrant issued for your arrest or have you ever failed to appear in court on a criminal matter?
- [list=none][-] Yes
- [X] No[/list]
- [b]F8.[/b] Are you aware of any pending criminal case(s) against you?
- [list=none][-] Yes
- [X] No[/list]
- [b]F8.[/b] When was the last time you drove while under the influence of alcohol? (For the purpose of this question, consider "under the influence" as when you may have been arrested if stopped by the police.)
- [list=none][X] Never
- [-] Within the last 6 months
- [-] Within the last 12 months
- [-] More than 12 months ago[/list]
- [b]F9.[/b] Have you ever engaged in any of the activities listed below for drugs, narcotics or illegal substances, including marijuana? (Check all boxes that apply to you. Leave blank if no boxes apply.)
- [list=none][-] Sold
- [-] Furnished
- [-] Manufactured
- [-] Cultivated[/list]
- [b]F10.[/b] Have you ever used or experimented with any of the following substances, drugs, or narcotics? (Check all boxes that apply to you. Leave blank if no boxes apply.)
- [list=none][-] Marijuana
- [-] Hashish, Hash Oil
- [-] THC
- [-] Cocaine
- [-] Barbiturates (downers)
- [-] Amphetamines (uppers)
- [-] Heroin
- [-] LSD or other hallucinogens
- [-] PCP (angel dust)
- [-] Opium, Morphine
- [-] Steroids
- [-] Methamphetamine
- [-] Ecstasy
- [-] GHB
- [/list][/list]
- [i]I hereby certify that all statements made in this Preliminary Background Application 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]
- Applicant's signature: [u]Joel Woods[/u]
- [hr][/hr]
- [center][b][size=150](( Out Of Character Information ))[/size][/b][/center]
- [list=none][b]G1.[/b] Real Life Age: 16
- [b]G2.[/b] Real Life Country of Residence: Argentina
- [b]G3.[/b] CG-RP Forum Account Profile Link: JoelWoods (pending approval)
- [b]G4.[/b] How long have you played on the server?: 3 hours
- [b]G6.[/b] List all current and past character names, on every account, and their levels:
- [list=none]
- 1) Joel_Woods - level 1 character
- 2)
- 3)
- 4)
- 5)
- [/list]
- [b]G7.[/b] Link an unedited screenshots of your in-game statistics (/stats) for all your accounts:
- [list=none]
- 1) [url=https://gyazo.com/195f1a3e40094af647840a90090b39c8]Joel_Woods[/url]
- 2)
- 3)
- 4)
- 5)
- [/list]
- [b]G8.[/b] Link an unedited screenshot of your admin record for all your characters on every account:
- [list=none]
- 1)
- 2)
- 3)
- 4)
- 5)
- [/list]
- [b]G9.[/b] If you were in the LSPD previously, what were your names and when did you leave the faction?:
- [b]G10.[/b] If you were in the LSPD previously, provide the link to your reinstatement where you were authorized to go through recruitment:
- [b]G11.[/b] If you are currently in another official faction, what is the name of the faction?:
- [b]G12.[/b] If you are currently in another official faction, provide the link to your double faction approval from the LSPD:
- [b]G13.[/b] Check all boxes that apply to you.
- [list=none][-] Be server level 5 on at least one character
- [X] Be able to role-play a realistic character
- [-] Have a working microphone
- [X] Be able to communicate in English fluently through voice and text
- [X] Be able to remain respectful, calm and understanding in a TeamSpeak (VOIP) environment
- [X] Be able to treat all players of the server with respect and avoid playing to win
- [X] Understand that we are here to provide quality police role-play, not police the server
- [X] Be able to spend the vast majority of my time on my police character and remain active
- [-] Have shown my admin record for all past accounts as well as my current account I am applying with
- [X] Not apply to more than one faction
- [/list][/list]
- [i]I hereby certify that all out of character statements made in this Preliminary Background Application are true and complete. I understand that any discrepancies, misstatements, omissions, and/or falsifications will be cause for disqualification and for my name to be forwarded to server administration for possible administrative punishment. I confirm that I have not been banned from applying for the faction and will take full responsibility for any policy violation. I agree that the faction has every right to deny my application or ban me from applying for whatever reason(s).[/i]
- Applicant's signature: [u]Joel_Woods[/u][/divbox]
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