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  1. [center][img]http://i.imgur.com/I81A1Uo.png[/img]
  2.  
  3. [size=150]LOS SANTOS POLICE DEPARTMENT[/size]
  4. [size=125][b]Preliminary Background Application Form[/b][/size][/center]
  5. [hr][/hr]
  6. [center][b][size=150]Personal[/size][/b][/center]
  7. [list=none][b]A1.[/b] Last Name: Lawton
  8. [b]A2.[/b] First Name: Chester
  9. [b]A3.[/b] Middle Name: DNA
  10.  
  11. [b]A4.[/b] Height: 189cm
  12. [b]A5.[/b] Weight: 12st 5lbs
  13. [b]A6.[/b] Hair: Brown
  14. [b]A7.[/b] Eyes: Blue
  15.  
  16. [b]A8.[/b] Date of Birth: 10/12/1997
  17. [b]A9.[/b] Phone Number: 2144
  18. [b]A10.[/b] Residence Address: 131 Princeton Street, Las Colinas, Los Santos, 828, San Andreas
  19.  
  20. [b]A11.[/b] Sex.
  21. [list=none][X] Male
  22. [-] Female
  23. [/list]
  24.  
  25. [b]A12.[/b] Ethnicity.
  26. [list=none][-] Black
  27. [-] Hispanic
  28. [X] White
  29. [-] Asian
  30. [-] Other
  31. [/list]
  32.  
  33. [b]A13.[/b] Citizenship.
  34. [list=none][X] I am a United States Citizen
  35. [-] I am a Naturalized citizen
  36. [-] I am a legal alien and have applied for U.S. Citizenship
  37. [-] None of the above
  38. [/list]
  39.  
  40. [b]A14.[/b] Names.
  41. List all names (aliases and nicknames) you have used or have been known by.
  42. [list=none]
  43. 1)
  44. 2)
  45. 3)
  46. [/list]
  47.  
  48. [b]A15.[/b] Tattoos.
  49. List and describe all tattoos and where they are located.
  50. [list=none]
  51. 1)
  52. 2)
  53. 3)
  54. [/list]
  55.  
  56. [b]A16.[/b] Languages.
  57. Do you speak any of the languages below fluently? If yes, check all boxes that apply.
  58. [list=none][-] Spanish
  59. [-] Chinese
  60. [-] Tagalog
  61. [-] Korean
  62. [-] Armenian
  63. [-] Vietnamese
  64. [-] Persian
  65. [-] Japanese
  66. [-] Russian
  67. [-] Arabic
  68. [-] Serbian
  69. [/list]
  70. [/list]
  71.  
  72. [hr][/hr]
  73.  
  74. [center][b][size=150]Education[/size][/b][/center]
  75. The Commission on Peace Officer Standards and Training requires a peace officer to possess a US high school diploma or its
  76. equivalent.
  77.  
  78. Please answer the following questions by checking all the boxes that apply.
  79.  
  80. [list=none][b]B1.[/b] Please check the boxes if you meet the requirement.
  81. [list=none][-] I possess a high school diploma from a US institution.
  82. [-] I possess a two-year college degree from an accredited college.
  83. [X] I possess a four-year degree from an accredited college or university.
  84. [-] I passed the GED test meeting the required scores.[/list]
  85.  
  86. [b]B2.[/b] If you have attended college, what was your major course of study?
  87. [list=none][-] Criminal Justice
  88. [-] Business/Economics
  89. [-] General Ed/Undecided
  90. [-] Engineering/Computer
  91. [X] Communications
  92. [-] Psychology/Sociology
  93. [-] Liberal Arts
  94. [-] Education
  95. [-] Science
  96. [-] Other[/list]
  97.  
  98. [b]B3.[/b] Have you ever been placed on academic probation, suspended, or expelled from any high school, university, or trade school?
  99. [list=none][-] Yes
  100. [X] No
  101. [i]If yes, please explain:[/i]
  102. [/list][/list]
  103.  
  104. [hr][/hr]
  105.  
  106. [center][b][size=150]Experience and Emplyoment[/size][/b][/center]
  107. 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.
  108.  
  109. [list=none][b]C1.[/b] Employment History.
  110. [list=none]Do you object to contacting your employer(s) prior to you being accepted? Yes [-] No [-]
  111. [i]If yes, please explain:[/i]
  112.  
  113. • Company Name:
  114. • Position:
  115. • Specific Duties:
  116. • Reason for leaving (be specific):
  117. • Employed from - to: DD/MMM/YYYY - DD/MMM/YYYY
  118.  
  119. • Company Name:
  120. • Position:
  121. • Specific Duties:
  122. • Reason for leaving (be specific):
  123. • Employed from - to: DD/MMM/YYYY - DD/MMM/YYYY
  124. [/list]
  125.  
  126. [b]C2.[/b] If you have served in the military, please indicate which branch.
  127. [list=none][-] Army
  128. [-] Navy
  129. [-] Air Force
  130. [-] Marines
  131. [-] Coast Guard
  132. [-] National Guard/Reserves[/list]
  133.  
  134. [b]C3.[/b] If you have served in the military, please input your Military Occupational Specialty Code:
  135.  
  136. [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.)
  137. [list=none][-] Terminated from any job or resigned to avoid termination
  138. [-] History of discipline, unsatisfactory work performance, absenteeism, or tardiness
  139. [-] No history of achievement through promotion or increased responsibilities
  140. [-] Numerous short-term, entry-level jobs in a variety of fields
  141. [/list][/list]
  142.  
  143. [hr][/hr]
  144.  
  145. [center][b][size=150]Applications with other agencies[/size][/b][/center]
  146. 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]
  147.  
  148. [list=none][b]D1.[/b] List Agencies.
  149. [list=none]• Name of agency:
  150. • Position:
  151. • Date applied:
  152. • Outcome:
  153. [-] Submitted application only
  154. [-] Took written test
  155. [-] Failed written test
  156. [-] Oral interview taken
  157. [-] Failed oral interview
  158. [-] Disqualified/Banned
  159. [-] Was not selected
  160. [-] Withdrew application or declined
  161. [-] Other
  162.  
  163. • Name of agency:
  164. • Position:
  165. • Date applied:
  166. • Outcome:
  167. [-] Submitted application only
  168. [-] Took written test
  169. [-] Failed written test
  170. [-] Oral interview taken
  171. [-] Failed oral interview
  172. [-] Disqualified/Banned
  173. [-] Was not selected
  174. [-] Withdrew application or declined
  175. [-] Other
  176. [/list][/list]
  177.  
  178. [hr][/hr]
  179.  
  180. [center][b][size=150]Motor vehicle operation & insurance[/size][/b][/center]
  181.  
  182. Please answer the following questions by checking all the boxes that apply.
  183.  
  184. [list=none][b]E1.[/b] Do you have a driver's license issued within the State of San Andreas?
  185. [list=none][x] Yes
  186. [-] No[/list]
  187.  
  188. [b]E2.[/b] List all vehicles that you own and/or operate that are registered to you.
  189. [list=none]• Year: 2016
  190. • Make/Model: Ford Tow Truck
  191. • Color: White and Blue
  192. • License number and state: 0INI028, San Andreas
  193. • Is the vehicle currently registered? [X] Yes [-] No
  194. • Is the vehicle currently insured? [X] Yes [-] No
  195.  
  196. • Year: 2017
  197. • Make/Model: Ford Emperor
  198. • Color: Blue
  199. • License number and state: 0ONH898, San Andreas
  200. • Is the vehicle currently registered? [X] Yes [-] No
  201. • Is the vehicle currently insured? [X] Yes [-] No
  202.  
  203. • Year: 2018
  204. • Make/Model: Dinghy
  205. • Color: Black
  206. • License number and state: DNA
  207. • Is the vehicle currently registered? [X] Yes [-] No
  208. • Is the vehicle currently insured? [X] Yes [-] No
  209.  
  210. • Year: 2012
  211. • Make/Model: Ford Quad Bike
  212. • Color: White and Black
  213. • License number and state: 9GWK243, San Andreas
  214. • Is the vehicle currently registered? [X] Yes [-] No
  215. • Is the vehicle currently insured? [X] Yes [-] No
  216.  
  217. • Year: 2010
  218. • Make/Model: Freeway
  219. • Color: Black
  220. • License number and state: 8KRV655, San Andreas
  221. • Is the vehicle currently registered? [X] Yes [-] No
  222. • Is the vehicle currently insured? [X] Yes [-] No
  223. [/list]
  224.  
  225. [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.)
  226. [list=none][X] None
  227. [-] 1 - 2
  228. [-] 3 - 4
  229. [-] 5 or more[/list]
  230.  
  231. [b]E4.[/b] Has your driver's license ever been suspended, revoked, or placed on negligent operator’s probation by any state, including
  232. San Andreas?
  233. [list=none][-] Yes
  234. [X] No
  235. [i]If yes, please explain (Give state, dates and reasons):[/i]
  236. [/list][/list]
  237.  
  238. [hr][/hr]
  239.  
  240. [center][b][size=150]Legal[/size][/b][/center]
  241.  
  242. Please answer the following questions by checking all the boxes that apply.
  243.  
  244. [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?
  245. [list=none][-] Yes
  246. [X] No[/list]
  247.  
  248. [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?
  249. [list=none][-] Yes
  250. [X] No[/list]
  251.  
  252. [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?
  253. [list=none][-] Yes
  254. [X] No[/list]
  255.  
  256. [b]F4.[/b] Have you ever been arrested or convicted of a misdemeanor offense as a juvenile or as an adult?
  257. [list=none][-] Yes
  258. [X] No[/list]
  259.  
  260. [b]F5.[/b] Have you ever received a misdemeanor citation in lieu of going to jail?
  261. [list=none][-] Yes
  262. [X] No[/list]
  263.  
  264. [b]F6.[/b] Have you ever been arrested or convicted of a felony offense as a juvenile or as an adult?
  265. [list=none][-] Yes
  266. [X] No[/list]
  267.  
  268. [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?
  269. [list=none][-] Yes
  270. [X] No[/list]
  271.  
  272. [b]F8.[/b] Are you aware of any pending criminal case(s) against you?
  273. [list=none][-] Yes
  274. [X] No[/list]
  275.  
  276. [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.)
  277. [list=none][X] Never
  278. [-] Within the last 6 months
  279. [-] Within the last 12 months
  280. [-] More than 12 months ago[/list]
  281.  
  282. [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.)
  283. [list=none][-] Sold
  284. [-] Furnished
  285. [-] Manufactured
  286. [-] Cultivated[/list]
  287.  
  288. [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.)
  289. [list=none][-] Marijuana
  290. [-] Hashish, Hash Oil
  291. [-] THC
  292. [-] Cocaine
  293. [-] Barbiturates (downers)
  294. [-] Amphetamines (uppers)
  295. [-] Heroin
  296. [-] LSD or other hallucinogens
  297. [-] PCP (angel dust)
  298. [-] Opium, Morphine
  299. [-] Steroids
  300. [-] Methamphetamine
  301. [-] Ecstasy
  302. [-] GHB
  303. [/list][/list]
  304.  
  305. [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]
  306.  
  307. Applicant's signature: [u]Chester Lawton[/u]
  308.  
  309. [hr][/hr]
  310.  
  311. [center][b][size=150](( Out Of Character Information ))[/size][/b][/center]
  312.  
  313. [list=none][b]G1.[/b] Real Life Age: 21
  314. [b]G2.[/b] Real Life Country of Residence: United Kingdom
  315. [b]G3.[/b] LS-RP Forum Account Profile Link:
  316. [b]G4.[/b] LS-RP Forum Account Confirmation Post Link:
  317. [b]G5.[/b] How long have you played on the server?:
  318.  
  319.  
  320.  
  321. [b]G6.[/b] List all current and past character names, on every account, and their levels:
  322. [list=none]
  323. 1)
  324. 2)
  325. 3)
  326. 4)
  327. 5)
  328. [/list]
  329.  
  330. [b]G7.[/b] Link an unedited screenshots of your in-game statistics (/stats) for all your accounts:
  331. [list=none]
  332. 1)
  333. 2)
  334. 3)
  335. 4)
  336. 5)
  337. [/list]
  338.  
  339. [b]G8.[/b] Link an unedited screenshot of your admin record for all your characters on every account:
  340. [list=none]
  341. 1)
  342. 2)
  343. 3)
  344. 4)
  345. 5)
  346. [/list]
  347.  
  348. [b]G9.[/b] If you were in the LSPD previously, what were your names and when did you leave the faction?:
  349.  
  350. [b]G10.[/b] If you were in the LSPD previously, provide the link to your reinstatement where you were authorized to go through recruitment:
  351.  
  352. [b]G11.[/b] If you are currently in another official faction, what is the name of the faction?:
  353.  
  354. [b]G12.[/b] If you are currently in another official faction, provide the link to your double faction approval from the LSPD:
  355.  
  356. [b]G13.[/b] Check all boxes that apply to you.
  357. [list=none][-] Be server level 5 on at least one character
  358. [-] Be able to role-play a realistic character
  359. [-] Have a working microphone
  360. [-] Be able to communicate in English fluently through voice and text
  361. [-] Be able to remain respectful, calm and understanding in a TeamSpeak (VOIP) environment
  362. [-] Be able to treat all players of the server with respect and avoid playing to win
  363. [-] Understand that we are here to provide quality police role-play, not police the server
  364. [-] Be able to spend the vast majority of my time on my police character and remain active
  365. [-] Have shown my admin record for all past accounts as well as my current account I am applying with
  366. [-] Not apply to more than one faction
  367. [/list][/list]
  368.  
  369. [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]
  370.  
  371. Applicant's signature: [u]LS-RP forum-name goes here[/u]
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