LSSD

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[Reinstatement] Rank John Doe

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[center][sheriffheader][/center]
[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]REINSTATEMENT 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]10. Residential Address[/b]
ANSWER HERE

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

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

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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 2: DEPARTMENTAL HISTORY[/b][/divboxheader]
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[b]1. Previous Rank[/b]
ANSWER HERE

[b]2. Previous Assignments[/b]
ANSWER HERE

[b]3. Reason For Leaving[/b]
ANSWER HERE

[b]4. Type of Discharge[/b]
ANSWER HERE

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[divboxheader=#d9d9d9, black, 12, 5, 5, 5][b]SECTION 3: 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 4: 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. Why would you like to be reinstated into the Los Santos County Sheriff's Department?[/b]
ANSWER HERE

[b]6. Desired rank and assignment?[/b]
ANSWER HERE
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