SHARE
TWEET

lspd

a guest Mar 25th, 2019 82 Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
  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: Arceneaux
  8. [b]A2.[/b] First Name: Scott
  9. [b]A3.[/b] Middle Name: James
  10.  
  11. [b]A4.[/b] Height: 6ft (183cm)
  12. [b]A5.[/b] Weight: 176lbs (80kg)
  13. [b]A6.[/b] Hair: Black
  14. [b]A7.[/b] Eyes: Dark Brown
  15.  
  16. [b]A8.[/b] Date of Birth: 25/10/1993
  17. [b]A9.[/b] Phone Number: 1732183
  18. [b]A10.[/b] Residence Address:
  19.  
  20. [b]A11.[/b] Sex.
  21. [list=none][X] Male
  22. [-] Female
  23. [/list]
  24. [b]A12.[/b] Ethnicity.
  25. [list=none][-] Black
  26. [-] Hispanic
  27. [X] White
  28. [-] Asian
  29. [-] Other
  30. [/list]
  31.  
  32. [b]A13.[/b] Citizenship.
  33. [list=none][X] I am a United States Citizen
  34. [-] I am a Naturalized citizen
  35. [-] I am a legal alien and have applied for U.S. Citizenship
  36. [-] None of the above
  37. [/list]
  38.  
  39. [b]A14.[/b] Names.
  40. List all names (aliases and nicknames) you have used or have been known by.
  41. [list=none]
  42. 1) Scott Arceneaux Jr.
  43. 2) DNA
  44. 3) DNA
  45. [/list]
  46.  
  47. [b]A15.[/b] Tattoos.
  48. List and describe all tattoos and where they are located.
  49. [list=none]
  50. 1) DNA
  51. 2) DNA
  52. 3) DNA
  53. [/list]
  54.  
  55. [b]A16.[/b] Languages.
  56. Do you speak any of the languages below fluently? If yes, check all boxes that apply.
  57. [list=none][-] Spanish
  58. [-] Chinese
  59. [-] Tagalog
  60. [-] Korean
  61. [-] Armenian
  62. [-] Vietnamese
  63. [-] Persian
  64. [-] Japanese
  65. [-] Russian
  66. [-] Arabic
  67. [X] Serbian
  68. [/list]
  69. [/list]
  70.  
  71. [hr][/hr]
  72.  
  73. [center][b][size=150]Education[/size][/b][/center]
  74. The Commission on Peace Officer Standards and Training requires a peace officer to possess a US high school diploma or its
  75. equivalent.
  76.  
  77. Please answer the following questions by checking all the boxes that apply.
  78.  
  79. [list=none][b]B1.[/b] Please check the boxes if you meet the requirement.
  80. [list=none][-]  I possess a high school diploma from a US institution.
  81. [-] I possess a two-year college degree from an accredited college.
  82. [X] I possess a four-year degree from an accredited college or university.
  83. [-] I passed the GED test meeting the required scores.[/list]
  84.  
  85. [b]B2.[/b] If you have attended college, what was your major course of study?
  86. [list=none][X] Criminal Justice
  87. [-] Business/Economics
  88. [-] General Ed/Undecided
  89. [-] Engineering/Computer
  90. [-] Communications
  91. [-] Psychology/Sociology
  92. [-] Liberal Arts
  93. [-] Education
  94. [-] Science
  95. [-] Other[/list]
  96.  
  97. [b]B3.[/b] Have you ever been placed on academic probation, suspended, or expelled from any high school, university, or trade school?
  98. [list=none][-] Yes
  99. [X] No
  100. [i]If yes, please explain: DNA[/i]
  101. [/list][/list]
  102.  
  103. [hr][/hr]
  104.  
  105. [center][b][size=150]Experience and Emplyoment[/size][/b][/center]
  106. 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.
  107.  
  108. [list=none][b]C1.[/b] Employment History.
  109. [list=none]Do you object to contacting your employer(s) prior to you being accepted? Yes [-] No [X]
  110. [i]If yes, please explain: DNA[/i]
  111.  
  112. • Company Name: DNA
  113. • Position: DNA
  114. • Specific Duties: DNA
  115. • Reason for leaving (be specific): DNA
  116. • Employed from - to: DNA
  117.  
  118. • Company Name: DNA
  119. • Position: DNA
  120. • Specific Duties: DNA
  121. • Reason for leaving (be specific): DNA
  122. • Employed from - to: DNA
  123. [/list]
  124.  
  125. [b]C2.[/b] If you have served in the military, please indicate which branch.
  126. [list=none][-] Army
  127. [-] Navy
  128. [-] Air Force
  129. [-] Marines
  130. [-] Coast Guard
  131. [X] National Guard/Reserves[/list]
  132.  
  133. [b]C3.[/b] If you have served in the military, please input your Military Occupational Specialty Code: 11B
  134.  
  135. [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.)
  136. [list=none][-] Terminated from any job or resigned to avoid termination
  137. [-] History of discipline, unsatisfactory work performance, absenteeism, or tardiness
  138. [-] No history of achievement through promotion or increased responsibilities
  139. [-] Numerous short-term, entry-level jobs in a variety of fields
  140. [/list][/list]
  141.  
  142. [hr][/hr]
  143.  
  144. [center][b][size=150]Applications with other agencies[/size][/b][/center]
  145. 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]
  146.  
  147. [list=none][b]D1.[/b] List Agencies.
  148. [list=none]• Name of agency: Los Santos Police Department
  149. • Position: DNA
  150. • Date applied: October 2018
  151. • Outcome: Denied due to application issues.
  152. [X] Submitted application only
  153. [-] Took written test
  154. [-] Failed written test
  155. [-] Oral interview taken
  156. [-] Failed oral interview
  157. [-] Disqualified/Banned
  158. [-] Was not selected
  159. [-] Withdrew application or declined
  160. [-] Other
  161.  
  162. • Name of agency: DNA
  163. • Position: DNA
  164. • Date applied: DNA
  165. • Outcome: DNA
  166. [-] Submitted application only
  167. [-] Took written test
  168. [-] Failed written test
  169. [-] Oral interview taken
  170. [-] Failed oral interview
  171. [-] Disqualified/Banned
  172. [-] Was not selected
  173. [-] Withdrew application or declined
  174. [-] Other
  175. [/list][/list]
  176.  
  177. [hr][/hr]
  178.  
  179. [center][b][size=150]Motor vehicle operation & insurance[/size][/b][/center]
  180.  
  181. Please answer the following questions by checking all the boxes that apply.
  182.  
  183. [list=none][b]E1.[/b] Do you have a driver's license issued within the State of San Andreas?
  184. [list=none][X] Yes
  185. [-] No[/list]
  186.  
  187. [b]E2.[/b] List all vehicles that you own and/or operate that are registered to you.
  188. [list=none]• Year: DNA
  189. • Make/Model: DNA
  190. • Color: DNA
  191. • License number and state: DNA
  192. • Is the vehicle currently registered? [-] Yes [-] No
  193. • Is the vehicle currently insured? [-] Yes [-] No
  194.  
  195. • Year: DNA
  196. • Make/Model: DNA
  197. • Color: DNA
  198. • License number and state: DNA
  199. • Is the vehicle currently registered? [-] Yes [-] No
  200. • Is the vehicle currently insured? [-] Yes [-] No
  201. [/list]
  202.  
  203. [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.)
  204. [list=none][X] None
  205. [-] 1 - 2
  206. [-] 3 - 4
  207. [-] 5 or more[/list]
  208.  
  209. [b]E4.[/b] Has your driver's license ever been suspended, revoked, or placed on negligent operator’s probation by any state, including
  210. San Andreas?
  211. [list=none][-] Yes
  212. [X] No
  213. [i]If yes, please explain (Give state, dates and reasons):[/i]  
  214. [/list][/list]
  215.  
  216. [hr][/hr]
  217.  
  218. [center][b][size=150]Legal[/size][/b][/center]
  219.  
  220. Please answer the following questions by checking all the boxes that apply.
  221.  
  222. [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?
  223. [list=none][-] Yes
  224. [X] No[/list]
  225.  
  226. [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?
  227. [list=none][-] Yes
  228. [X] No[/list]
  229.  
  230. [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?
  231. [list=none][-] Yes
  232. [X] No[/list]
  233.  
  234. [b]F4.[/b] Have you ever been arrested or convicted of a misdemeanor offense as a juvenile or as an adult?
  235. [list=none][-] Yes
  236. [X] No[/list]
  237.  
  238. [b]F5.[/b] Have you ever received a misdemeanor citation in lieu of going to jail?
  239. [list=none][-] Yes
  240. [X] No[/list]
  241.  
  242. [b]F6.[/b] Have you ever been arrested or convicted of a felony offense as a juvenile or as an adult?
  243. [list=none][-] Yes
  244. [X] No[/list]
  245.  
  246. [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?
  247. [list=none][-] Yes
  248. [X] No[/list]
  249.  
  250. [b]F8.[/b] Are you aware of any pending criminal case(s) against you?
  251. [list=none][-] Yes
  252. [X] No[/list]
  253.  
  254. [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.)
  255. [list=none][X] Never
  256. [-] Within the last 6 months
  257. [-] Within the last 12 months
  258. [-] More than 12 months ago[/list]
  259.  
  260. [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.)
  261. [list=none][-] Sold
  262. [-] Furnished
  263. [-] Manufactured
  264. [-] Cultivated[/list]
  265.  
  266. [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.)
  267. [list=none][X] Marijuana                                
  268. [-] Hashish, Hash Oil                                
  269. [-] THC                                
  270. [-] Cocaine                                
  271. [-] Barbiturates (downers)                                
  272. [-] Amphetamines (uppers)                                
  273. [-] Heroin                                
  274. [-] LSD or other hallucinogens                                
  275. [-] PCP (angel dust)                                
  276. [-] Opium, Morphine                                
  277. [-] Steroids                                
  278. [-] Methamphetamine                          
  279. [-] Ecstasy                                
  280. [-] GHB
  281. [/list][/list]
  282.  
  283. [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]
  284.  
  285. Applicant's signature: [u]Scott Arceneaux Jr.[/u]
  286.  
  287. [hr][/hr]
  288.  
  289. [center][b][size=150](( Out Of Character Information ))[/size][/b][/center]
  290.  
  291. [list=none][b]G1.[/b] Real Life Age: 18
  292. [b]G2.[/b] Real Life Country of Residence: Bosnia & Herzegovina
  293. [b]G3.[/b] LS-RP Forum Account Profile Link: https://forum.ls-rp.io/memberlist.php?mode=viewprofile&u=375481
  294. [b]G4.[/b] LS-RP Forum Account Confirmation Post Link: https://forum.ls-rp.io/viewtopic.php?f=21&t=637482&p=8840477#p8840477
  295. [b]G5.[/b] How long have you played on the server?: From time to time since 2016
  296.  
  297.  
  298.  
  299. [b]G6.[/b] List all current and past character names, on every account, and their levels:
  300. [list=none]
  301. 1) Joseph Milazzo - Level 8
  302. 2) Ronald Grotti - Level 5
  303. 3) Scott Arceneaux - Level 1
  304. 4) DNA
  305. 5) DNA
  306. [/list]
  307.  
  308. [b]G7.[/b] Link an unedited screenshots of your in-game statistics (/stats) for all your accounts:
  309. [list=none]
  310. 1)
  311. 2)
  312. 3)
  313. 4)
  314. 5)
  315. [/list]
  316.  
  317. [b]G8.[/b] Link an unedited screenshot of your admin record for all your characters on every account:
  318. [list=none]
  319. 1)
  320. 2)
  321. 3)
  322. 4)
  323. 5)
  324. [/list]
  325.  
  326. [b]G9.[/b] If you were in the LSPD previously, what were your names and when did you leave the faction?: DNA
  327.  
  328. [b]G10.[/b] If you were in the LSPD previously, provide the link to your reinstatement where you were authorized to go through recruitment: DNA
  329.  
  330. [b]G11.[/b] If you are currently in another official faction, what is the name of the faction?: DNA
  331.  
  332. [b]G12.[/b] If you are currently in another official faction, provide the link to your double faction approval from the LSPD: DNA
  333.  
  334. [b]G13.[/b] Check all boxes that apply to you.
  335. [list=none][X] Be server level 5 on at least one character                              
  336. [X] Be able to role-play a realistic character                              
  337. [X] Have a working microphone                              
  338. [X] Be able to communicate in English fluently through voice and text                                
  339. [X] Be able to remain respectful, calm and understanding in a TeamSpeak (VOIP) environment                                
  340. [X] Be able to treat all players of the server with respect and avoid playing to win                                
  341. [X] Understand that we are here to provide quality police role-play, not police the server
  342. [X] Be able to spend the vast majority of my time on my police character and remain active                              
  343. [X] Have shown my admin record for all past accounts as well as my current account I am applying with  
  344. [X] Not apply to more than one faction                          
  345. [/list][/list]
  346.  
  347. [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]
  348.  
  349. Applicant's signature: [u]Scott Arceneaux[/u]
RAW Paste Data
We use cookies for various purposes including analytics. By continuing to use Pastebin, you agree to our use of cookies as described in the Cookies Policy. OK, I Understand
 
Top