LSSD

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John Doe

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[center][divboxheader=#cfcfcf, black, 12, 5, 5, 5][b][u]DISCLAIMER[/u][/b][/divboxheader][/center]
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[i]ALL INFORMATION PROVIDED IN THIS APPLICATION MUST BE COMPLETE, ACCURATE, AND TRUTHFUL. ANY FALSE STATEMENTS, OMISSIONS, MISREPRESENTATIONS, OR ATTEMPTS TO CONCEAL RELEVANT INFORMATION MAY RESULT IN IMMEDIATE DISQUALIFICATION FROM THE SELECTION PROCESS OR REMOVAL FROM EMPLOYMENT IF DISCOVERED AFTER APPOINTMENT. THE LOS SANTOS COUNTY SHERIFF'S DEPARTMENT RESERVES THE RIGHT TO VERIFY ANY INFORMATION PROVIDED BY THE APPLICANT THROUGH BACKGROUND INVESTIGATIONS AND OTHER APPROPRIATE MEANS.[/i]


(( All information provided within this application must be truthful OOCly. Any attempt to falsify information, conceal prior player history, hide administrative records, omit faction history, misrepresent account ownership, or otherwise provide misleading information may result in a Non-Select, immediate disqualification, or administrative action where applicable. ))

(( To mark a checkbox as selected, replace [cb) with [cbc). ))
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[center][b][size=140]LOS SANTOS COUNTY SHERIFF'S DEPARTMENT[/size][/b]
[size=110]PRELIMINARY BACKGROUND APPLICATION[/size][/center]

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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 1: APPLICANT PERSONAL INFORMATION[/b][/divboxheader]
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[b]1. Last Name[/b]
ANSWER HERE

[b]2. First Name[/b]
ANSWER HERE

[b]3. Middle Name[/b]
ANSWER HERE

[b]4. Date of Birth[/b]
ANSWER HERE

[b]5. Place of Birth[/b]
ANSWER HERE

[b]6. Gender[/b]
[cb] Male
[cb] Female

[b]7. Ethnicity[/b]
[cb] Caucasian
[cb] Black
[cb] Hispanic
[cb] Asian
[cb] Native American
[cb] Other

[b]8. Height[/b]
ANSWER HERE

[b]9. Weight[/b]
ANSWER HERE

[b]10. Residential Address[/b]
ANSWER HERE

[b]11. Telephone Number[/b]
ANSWER HERE

[b]12. Email Address[/b]
ANSWER HERE

[b]13. Marital Status[/b]
[cb] Single
[cb] Married
[cb] Divorced
[cb] Widowed

[b]14. Do you speak any languages other than English?[/b]
[cb] Yes
[cb] No

[b]If yes, list all languages spoken and your proficiency level.[/b]
ANSWER HERE

[b]15. United States Citizen[/b]
[cb] Yes
[cb] No
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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 2: EDUCATION & EMPLOYMENT HISTORY[/b][/divboxheader]
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[b]1. Highest Level of Education Completed[/b]
[cb] High School
[cb] Associate Degree
[cb] Bachelor Degree
[cb] Master Degree
[cb] Other

[b]2. Most Recent Employer[/b]
ANSWER HERE

[b]3. Employment Dates[/b]
ANSWER HERE

[b]4.Reason For Leaving[/b]
ANSWER HERE

[b]5. Have you ever served in the United States Armed Forces?[/b]
[cb] Yes
[cb] No

[b]If yes, indicate the branch of service.[/b]
[cb] United States Army
[cb] United States Marine Corps
[cb] United States Navy
[cb] United States Air Force
[cb] United States Coast Guard
[cb] National Guard
[cb] Other

[b]6. Dates of Service[/b]
ANSWER HERE

[b]7. Type of Discharge[/b]
ANSWER HERE
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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 3: CRIMINAL HISTORY & DRIVER LICENSE INFORMATION[/b][/divboxheader]
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[b]1. Do you possess a valid San Andreas Driver License?[/b]
[cb] Yes
[cb] No

[b]2. Have you received any citations within the last three months?[/b]
[cb] Yes
[cb] No

[b]If yes, explain:[/b]
ANSWER HERE

[b]3. Have you ever been arrested, cited, or convicted of a misdemeanor or felony offense?[/b]
[cb] Yes
[cb] No

[b]If yes, explain:[/b]
ANSWER HERE

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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 4: APPLICANT CERTIFICATION[/b][/divboxheader]
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I certify that I have completed this application personally and that all information contained herein is true and complete to the best of my knowledge.

I understand that any omission, falsification, or misrepresentation may result in disqualification from the selection process or dismissal from employment.

[b]Applicant Signature[/b]

ANSWER HERE

[b]Date[/b]

ANSWER HERE

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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 5: OUT OF CHARACTER INFORMATION[/b][/divboxheader]
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[b]1. Forum Profile Link[/b]
ANSWER HERE

[b]2. Admin Record[/b]
ANSWER HERE

[b]3. Timezone[/b]
ANSWER HERE

[b]4. Do you possess a working microphone?[/b]
[cb] Yes
[cb] No

[b]5. Character Background Story[/b]

[spoiler=Background Statement]
ANSWER HERE
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