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[block=1,20,black,white][size=150]Instructions to the Applicant[/size]
The information you provide in this application will be used in the background investigation to assist in determining your suitability for the non-sworn position of Sky Knight Relief Pilot.
[list][*]It is your responsibility to complete this form and provide all required information.
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[*]This document must be filled out electronically and printed.
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[*]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.
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[*]Send the completed form to your background investigator or the agency to which you are applying.[/list]
[b]Disqualification[/b]
There are very few [b][i]automatic[/i][/b] 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, [b][i]deliberate misstatements or omissions[/i][/b] 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.
[center][size=120][b][i]BOTTOM LINE: You are responsible for providing complete, accurate, and truthful responses.[/i][/b][/size][/center][/block]
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[block=1,5,black,black][color=white][b]1. PERSONAL INFORMATION[/b][/color][/block]
[block=1,20,black,white][b]1. FIRST NAME[/b]
[list=none]Answer Here[/list]
[b]2. MIDDLE NAME[/b]
[list=none]Answer Here[/list]
[b]3. LAST NAME[/b]
[list=none]Answer Here[/list]
[b]4. DATE OF BIRTH[/b]
[list=none]Month: MM
Date: DD
Year: YYYY[/list]
[b]5. PLACE OF BIRTH[/b]
[list=none]Answer Here[/list]
[b]6. GENDER[/b]
[list=none][—] Male
[—] Female
[—] Other[/list]
[b]7. RACE[/b]
[list=none][—] White
[—] Black or African American
[—] 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[/list]
[b]8. HEIGHT[/b]
[list=none]In feet: Answer Here
In inches: Answer Here[/list]
[b]9. WEIGHT[/b]
[list=none]In pounds: Answer Here[/list]
[b]10. MARITAL STATUS[/b]
[list=none][—] Single
[—] Married
[—] Divorced
[—] Widow
[—] Legally Separated
[—] Unknown/Not Applicable[/list]
[b]11. ADDRESS OF PRIMARY RESIDENCY[/b]
[list=none]Street Number & Name: Answer Here
City: Answer Here
State: Answer Here
Zip: Answer Here[/list]
[b]12. PRIMARY PHONE NUMBER[/b]
[list=none]Answer Here[/list]
[b]13. EMAIL ADDRESS[/b]
[list=none]Answer Here[/list]
[float=right][size=85][b]PROCEED TO NEXT PAGE[/b][/size][/float][/block]
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[block=1,1,black,black][color=white][b]2. EDUCATION HISTORY[/b][/color][/block]
[block=1,20,black,white][b]14. LEVEL OF EDUCATION[/b]
[list=none][—] Some High School
[—] High School
[—] Some College
[—] Technical College
[—] Associate's Degree
[—] Bachelor's Degree
[—] Master's Degree
[—] Doctorate[/list]
[b]15. SCHOOL OF ATTENDANCE[/b]
[list=none]School Name: Answer Here
Enrollment Term: MM/DD/YYYY to MM/DD/YYYY
Course of Study: Answer Here[/list]
[float=right][size=85][b]PROCEED TO NEXT PAGE[/b][/size][/float][/block]
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[block=1,1,black,black][color=white][b]3. EMPLOYMENT HISTORY[/b][/color][/block]
[block=1,20,black,white][b]16. FIRST PLACE OF EMPLOYMENT[/b]
[list=none]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[/list]
[b]17. SECOND PLACE OF EMPLOYMENT[/b]
[list=none]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[/list]
[b]18. THIRD PLACE OF EMPLOYMENT[/b]
[list=none]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[/list]
[float=right][size=85][b]PROCEED TO NEXT PAGE[/b][/size][/float][/block]
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[block=1,1,black,black][color=white][b]4. BACKGROUND QUESTIONAIRE[/b][/color][/block]
[block=1,20,black,white][b]19. I HAVE A VALID SAN ANDREAS DRIVER LICENSE[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]20. I HAVE A VALID SAAA FCL ROTORCRAFT/HELICOPTER PILOT LICENSE[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]21. I AM LEGALLY ABLE TO WORK IN THE UNITED STATES OF AMERICA[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]22. I HEARD ABOUT THIS POSITION THROUGH[/b]
[list=none][—] 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[/list]
[b]23. IN ADDITION TO ENGLISH, I KNOW THE FOLLOWING LANGUAGE(S)[/b]
[list=none]Answer Here[/list]
[b]24. I AM A PERSON WITH A DISABILITY[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]25. I AM A CURRENT OR FORMER MEMBER OF THE UNITED STATES MILITARY[/b]
[list=none][—] Yes, I currently serve
[list=none]I currently serve in the: Answer Here[/list]
[—] Yes, I have formerly served
[list=none]I have formerly served in the: Answer Here[/list]
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]26. I AM CURRENTLY ON CRIMINAL PROBATION OR PAROLE[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]27. I HAVE PRIOR CONVICTIONS FOR DRIVING UNDER THE INFLUENCE OF ALCOHOL OR OTHER INTOXICANTS IN SAN ANDREAS AND/OR ANOTHER STATE[/b]
[list=none][—] Yes
[list=none]Indicate which state(s) and year(s) convicted: Answer Here[/list]
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]28. I HAVE PREVIOUSLY USED MARIJUANA WITHIN THE LAST YEAR[/b]
[list=none][—] Yes
[list=none]Indicate the previous month(s) and year(s) you have used marijuana: MM/YYYY[/list]
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]29. I HAVE PREVIOUSLY USED OTHER ILLEGAL SUBSTANCES WITHIN THE PAST YEAR[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[b]30. I HAVE COMMITTED THEFT, OR HAVE EMBEZZLED, AN AMOUNT AT LEAST $950.00[/b]
[list=none][—] Yes
[—] No
[—] Unknown
[—] Not Willing to Answer
[—] Other[/list]
[float=right][size=85][b]PROCEED TO NEXT PAGE[/b][/size][/float][/block]
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[block=1,1,black,black][color=white][b]5. DECLARATION & ACKNOWLEDGEMENT[/b][/color][/block]
[block=1,20,black,white]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 Custody Assistant. 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.
[b]31. SIGNATURE[/b]
[list=none]Answer Here[/list]
[b]32. DATE[/b]
[list=none]Month: MM
Date: DD
Year: YYYY[/list]
[float=right][size=85][b]PROCEED TO NEXT PAGE[/b][/size][/float][/block]
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[block=1,1,black,black][color=white][b](( 6. OUT OF CHARACTER QUESTIONS ))[/b][/color][/block]
[block=1,20,black,white][b]33. MY TIMEZONE[/b]
[list=none]Answer Here[/list]
[b]34. MY USER CONTROL PANEL USERNAME[/b]
[list=none]Answer Here[/list]
[b]35. MY UNEDITED SCREENSHOT OF MY USER CONTROL PANEL ADMINISTRATIVE RECORD[/b]
[list=none]Answer Here[/list]
[b]36. MY GTAWORLD FORUM ACCOUNT[/b]
[list=none]Answer Here[/list]
[b]37. MY DOUBLE FACTION PERMISSIONS[/b]
[list=none]Answer Here[/list]
[b]38. HAVE YOU EVER BEEN DISCHARGED OR BANNED FROM A LEGAL FACTION? IF SO, ELABORATE[/b]
[list=none][—] Yes
[list=none]Elaboration: Answer Here[/list]
[—] No
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[b]39. DO YOU CONSENT TO YOUR CHARACTER ICLY PROVIDING FINGERPRINT SAMPLES AND A MUGSHOT AS PART OF THE APPLICATION PROCESS?[/b]
[list=none][—] Yes
[—] No[/list]
[b]40. DO YOU HAVE A WORKING MICROPHONE AND ARE YOU WILLING TO USE TS3?[/b]
[list=none][—] Yes
[—] No[/list]
[b]41. ATTACH AN IMAGE OF YOUR CHARACTER FROM THE SHOULDERS UP CLEARLY SHOWING THEIR FACE WITH NOTHING COVERING THE FACE[/b]
[list=none][spoiler][img]Answer Here[/img][/spoiler][/list]
[float=right][size=85][b]STOP — END OF APPLICATION[/b][/size][/float][/block]