Instructions to the Applicant

The information you provide in this application will be used in the background investigation to assist in determining your suitability for the position of San Andreas Peace Officer, in accordance with POST Commission Regulation 1953.

• It is your responsibility to complete this form and provide all required information.
  
  
• This document must be filled out electronically and printed.
  
  
• You must respond to all items and questions. If a question does not apply to you, write “D.N.A.” (does not apply) in the space provided for your response.
  
  
• Send the completed form to your background investigator or the agency to which you are applying. Do NOT send the form to POST.

Disqualification

There are very few automatic bases for rejection. Even issues of prior misconduct, such as prior illegal drug use, driving under the influence, theft, or even arrest or conviction are usually not, in and of themselves, automatically disqualifying. However, deliberate misstatements or omissions can and often will result in your application being rejected, regardless of the nature or reason for the misstatements/omissions. In fact, the number one reason individuals “fail” background investigations is because they deliberately withhold or misrepresent job-relevant information from their prospective employer.

1. FIRST NAME

• Brian

2. MIDDLE NAME

• N/A

3. LAST NAME

• Chavez

4. DATE OF BIRTH

• Month: 04
  Date: 17
  Year: 1999

5. PLACE OF BIRTH

• Los Santos

6. GENDER

• [X] Male
  [—] Female
  [—] Other

7. RACE

• [—] White
  [—] Black or African American
  [X] Hispanic or Latino
  [—] American Indian or Alaska Native
  [—] Asian
  [—] Flippino American
  [—] Native Hawaiian or Other Pacific Islander
  [—] None of the Above
  [—] Two or More Races

8. HEIGHT

• In feet: Six Feet
  In inches: One inch

9. WEIGHT

• In pounds: 160

10. MARITAL STATUS

• [X] Single
  [—] Married
  [—] Divorced
  [—] Widow
  [—] Legally Separated
  [—] Unknown/Not Applicable

11. ADDRESS OF PRIMARY RESIDENCY

• Street Number & Name: Alta Street - Pink Cage Motel Room 11
  City: Los Santos
  State: San Andreas
  Zip: 90476

12. PRIMARY PHONE NUMBER

• 46650611

13. EMAIL ADDREESS

• [email protected]

14. LEVEL OF EDUCATION

• [—] Some High School
  [X] High School
  [—] Some College
  [—] Technical College
  [—] Associate's Degree
  [—] Bachelor's Degree
  [—] Master's Degree
  [—] Doctorate

15. SCHOOL OF ATTENDANCE

• School Name: Davis High School
  Enrollment Term: 08/12/2014 to 05/31/2018
  Course of Study: High School Diploma

16. FIRST PLACE OF EMPLOYMENT

• Company/Agency Name: Pisswasser Brewery
  Position: Answer Brewer
  Duties Summary: I Brian Chavez would brew Pisswasser beer and would go out to stores selling it to them for them to sell.
  Employment Term: 07/16/2022 to 07/29/2023
  Reason for Leaving: I left for me to find a new job and find a real career I would like and enjoy.

17. SECOND PLACE OF EMPLOYMENT

• Company/Agency Name: Answer Here
  Position: Answer Here
  Duties Summary: Answer Here
  Employment Term: MM/DD/YYYY to MM/DD/YYYY
  Reason for Leaving: Answer Here

18. THIRD PLACE OF EMPLOYMENT

• Company/Agency Name: Answer Here
  Position: Answer Here
  Duties Summary: Answer Here
  Employment Term: MM/DD/YYYY to MM/DD/YYYY
  Reason for Leaving: Answer Here

19. I HAVE A VALID SAN ANDREAS DRIVER LICENSE

• [X] Yes
  [—] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

20. I AM LEGALLY ABLE TO WORK IN THE UNITED STATES OF AMERICA

• [X] Yes
  [—] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

21. I HEARD ABOUT THIS POSITION THROUGH

• [X] LSSD Website
  [—] Sheriff's Station Website
  [—] Social Media
  [—] College Campus
  [—] Career Fair or Seminar
  [—] LSSD Employee
  [—] LS County Employee
  [—] Family Member
  [—] Friends or Neighbors
  [—] Radio
  [—] Billboard
  [—] Other

22. IN ADDITION TO ENGLISH, I KNOW THE FOLLOWING LANGUAGE(S)

• Spanish

23. I AM A PERSON WITH A DISABILITY

• [—] Yes
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

24. I AM A CURRENT OR FORMER MEMBER OF THE UNITED STATES MILITARY

• [—] Yes, I currently serve
  • I currently serve in the: Answer Here
  [—] Yes, I have formerly served
  • I have formerly served in the: Answer Here
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

25. I AM CURRENTLY ON CRIMINAL PROBATION OR PAROLE

• [—] Yes
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

26. I HAVE PRIOR CONVICTIONS FOR DRIVING UNDER THE INFLUENCE OF ALCOHOL OR OTHER INTOXICANTS IN SAN ANDREAS AND/OR ANOTHER STATE

• [—] Yes
  • Indicate which state(s) and year(s) convicted: Answer Here
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

27. I HAVE PREVIOUSLY USED MARIJUANA WITHIN THE LAST YEAR

• [—] Yes
  • Indicate the previous month(s) and year(s) you have used marijuana: MM/YYYY
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

28. I HAVE PREVIOUSLY USED OTHER ILLEGAL SUBSTANCES WITHIN THE PAST YEAR

• [—] Yes
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

29. I HAVE COMMITTED THEFT, OR HAVE EMBEZZLED, AN AMOUNT AT LEAST $950.00

• [—] Yes
  [X] No
  [—] Unknown
  [—] Not Willing to Answer
  [—] Other

I, the undersigned, do herein agree that the information aforementioned is true and complete to the best of my knowledge under the penalty of perjury. I further agree and understand that the information provided will be utilized by the Los Santos County Sheriff's Department for the purposes of employment & preliminary background investigation for the position of Deputy Sheriff Trainee. I further understand that the Los Santos County Sheriff's Department employs candidates with no regard to race, religion, sexual orientation, creed, ethnicity, veteran status, or disability. I agree that if selected to move forward with the hiring process, I will abide by the hiring standards as prescribed by the Sheriff of Los Santos County and his designated deputies.

30. SIGNATURE

• Brian Chavez

31. DATE

• Month: 07
  Date: 29
  Year: 2023

32. MY TIMEZONE & CURRENT COUNTRY OF RESIDENCE

• Timezone: PST - Residence: USA

33. MY DISCORD HANDLE

• hasbulation

34. MY USER CONTROL PANEL USERNAME

• XAJAX5K

35. LIST OF ALL CURRENT CHARACTERS ON MY UCP ACCOUNT

• https://ucp.gta.world/view/character/127936
• https://ucp.gta.world/view/character/129378

36. MY UNEDITED SCREENSHOT OF MY USER CONTROL PANEL FULL ADMINISTRATIVE RECORD

• https://i.imgur.com/OkJ6pPd.png

37. MY GTAWORLD FORUM ACCOUNT

• https://forum.gta.world/en/profile/75215-xajax5k/

38. MY DOUBLE FACTION PERMISSIONS

• https://i.imgur.com/EHp2OlJ.png

39. I CURRENTLY POSSESS A WORKING MICROPHONE, AND I CAN USE TEAMSPEAK 3

• [X] Yes
  [—] No
  [—] No, I have received an exemption from Legal Faction Management

40. HAVE YOU EVER BEEN DISCHARGED OR BANNED FROM A LEGAL FACTION? IF SO, ELABORATE

• [—] Yes
  • Elaboration: Answer Here
  [X] No

41. DO YOU CONSENT TO YOUR CHARACTER ICLY PROVIDING FINGERPRINT SAMPLES AND A MUGSHOT AS PART OF THE APPLICATION PROCESS?

• [X] Yes
  [—] No

42. ATTACH AN IMAGE OF YOUR CHARACTER FROM THE SHOULDERS UP CLEARLY SHOWING THEIR FACE WITH NOTHING COVERING THE FACE

• SPOILER: show

  

43. INTRODUCE YOUR CHARACTER. INCLUDE SOME BACKGROUND STORY, CHARACTER DEVELOPMENT, AND WHY THEY WANT TO JOIN THE DEPARTMENT.

• Brian Chavez grew up in a middle-class family, his father was a sheriff's deputy for the LSSD. Brain grew up with his Mother, Father, and two sisters. Brian is the firstborn of this family. When Brian was little he used to play cops and robbers, Brian loved being the cops and would take this seriously. Brain's father saw this and bought him an electric small vehicle of a sheriff's cruiser. Brian always wanted to follow in his father's footsteps and wanted to be just like him. Brian is not a problematic child he is instead a very calm child and always kept to himself and wouldn't get in any problems in school, he would stay away from the local "gangbanger's" and would be all to himself. When Brian was younger his mother and father would take him to local cop shows, Brain's father loved him, he would show him pictures of him and his co-workers. Brian's idea was to finish high school and go straight to the Sheriff's Academy, but instead, he went to get a quick job for him to afford a vehicle, and get himself somewhere to stay. Brian's sisters also wanted to be first responders, but they decided to be nurses instead of Sherrif, or an Officer. They ended up getting jobs in a different state. Brain's mother was also a first responder but didn't like the like of work to much and decided to leave after four years in service, and found a job looking out for elderly people.(MINIMUM 250 WORDS)