[DST] Lorenzo Pina [DQ]

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Lorenzo Pina
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[DST] Lorenzo Pina [DQ]

Post by Lorenzo Pina »

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.

BOTTOM LINE: You are responsible for providing complete, accurate, and truthful responses.



1. PERSONAL INFORMATION
1. FIRST NAME
  • Lorenzo
2. MIDDLE NAME
  • D.N.A
3. LAST NAME
  • Pina
4. DATE OF BIRTH
  • Month: 02
    Date: 27
    Year: 1997
5. PLACE OF BIRTH
  • Los Santos, San Andreas
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: 5
    In inches: 11
9. WEIGHT
  • 156
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 28
    City: Los Santos
    State: San Andreas
    Zip: 1005
12. PRIMARY PHONE NUMBER
  • 87512962
13. EMAIL ADDREESS
PROCEED TO NEXT PAGE



2. EDUCATION HISTORY
14. LEVEL OF EDUCATION
  • [—] Some High School
    [—] High School
    [X] Some College
    [—] Technical College
    [—] Associate's Degree
    [—] Bachelor's Degree
    [—] Master's Degree
    [—] Doctorate
15. SCHOOL OF ATTENDANCE
  • School Name: University of San Andreas, Los Santos
    Enrollment Term: 08/09/2008 to 05/27/2011
    Course of Study: Criminal Justice
PROCEED TO NEXT PAGE



3. EMPLOYMENT HISTORY
16. FIRST PLACE OF EMPLOYMENT
  • Company/Agency Name: Carbon Law Group
    Position: Attendance
    Duties Summary: Protecting client's rights.
    Employment Term: 07/04/2011 to 11/12/2017
    Reason for Leaving: Better job opportunity.
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
PROCEED TO NEXT PAGE



4. BACKGROUND QUESTIONAIRE
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
    [X] Social Media
    [—] College Campus
    [—] Career Fair or Seminar
    [—] LSSD Employee
    [—] LS County Employee
    [—] Family Member
    [—] Friends or Neighbors
    [—] Radio
    [X] Billboard
    [—] Other
22. IN ADDITION TO ENGLISH, I KNOW THE FOLLOWING LANGUAGE(S)
  • English and 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
PROCEED TO NEXT PAGE



5. DECLARATION & ACKNOWLEDGEMENT
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
  • Lorenzo Pina
31. DATE
  • Month: 12
    Date: 03
    Year: 2022
PROCEED TO NEXT PAGE



(( 6. OUT OF CHARACTER QUESTIONS ))
32. MY TIMEZONE
  • Pacific Standard Time
33. MY USER CONTROL PANEL USERNAME
  • NSHeem
34. MY UNEDITED SCREENSHOT OF MY USER CONTROL PANEL FULL ADMINISTRATIVE RECORD 35. MY GTAWORLD FORUM ACCOUNT 36. MY DOUBLE FACTION PERMISSIONS
  • N/A
37. 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
38. HAVE YOU EVER BEEN DISCHARGED OR BANNED FROM A LEGAL FACTION? IF SO, ELABORATE
  • [—] Yes
    • Elaboration: Answer Here
    [X] No
39. DO YOU CONSENT TO YOUR CHARACTER ICLY PROVIDING FINGERPRINT SAMPLES AND A MUGSHOT AS PART OF THE APPLICATION PROCESS?
  • [X] Yes
    [—] No
40. ATTACH AN IMAGE OF YOUR CHARACTER FROM THE SHOULDERS UP CLEARLY SHOWING THEIR FACE WITH NOTHING COVERING THE FACE
STOP — END OF APPLICATION
Ralph Ciszek
Retired Commander
Retired Commander
Posts: 2785
Joined: Sun Sep 18, 2022 11:02 pm
GTA:W Forum Name: mark.
Primary Assignment: Central Patrol Division Headquarters

Re: [DST] Lorenzo Pina

Post by Ralph Ciszek »


LSSD Header
December 4th, 2022

Dear Mr. Pina,

We have received your application and qualifications for the position of Deputy Sheriff Trainee. Thank you for showing interest in employment with the Los Santos County Sheriff's Department.

Your request has been acknowledged and forwarded to the Pre-Employment Unit for further deliberation & conclusion. This deliberation will include a thorough examination of your previous service with the Department and personal background information.

While extraneous circumstances may preclude a fixed timeframe, you should expect a response to your request within 72 hours.

Sincerely,

GARY HEWITT, SHERIFF

Neal Hahn, Captain
Personnel Administration Bureau
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COMMANDER RALPH CISZEK
Area 1 Commander, Central Patrol Division
Los Santos County Sheriff's Department — "A Tradition of Service "
Ralph Ciszek
Retired Commander
Retired Commander
Posts: 2785
Joined: Sun Sep 18, 2022 11:02 pm
GTA:W Forum Name: mark.
Primary Assignment: Central Patrol Division Headquarters

Re: [DST] Lorenzo Pina [REVIEW]

Post by Ralph Ciszek »


LSSD Header
December 6th, 2022

Dear Mr. Pina,

We have evaluated your application and qualifications for the position of Deputy Sheriff Trainee.

We are pleased to inform you that your application has been successful. The next step in the recruitment process is to attend and complete your Written Test.

You will shortly receive correspondence with instructions on completing your Written Test.

Should you have any questions, comments, or concerns, please contact Personnel Administration Bureau Command.

Sincerely,

GARY HEWITT, SHERIFF

Neal Hanh, Captain
Personnel Administration Bureau
Image
Image
COMMANDER RALPH CISZEK
Area 1 Commander, Central Patrol Division
Los Santos County Sheriff's Department — "A Tradition of Service "
Ralph Ciszek
Retired Commander
Retired Commander
Posts: 2785
Joined: Sun Sep 18, 2022 11:02 pm
GTA:W Forum Name: mark.
Primary Assignment: Central Patrol Division Headquarters

Re: [DST] Lorenzo Pina [WT]

Post by Ralph Ciszek »


LSSD Header
December 6th, 2022

Dear Mr. Pina,

We have evaluated your application and qualifications for the position of Deputy Sheriff Trainee and regret to inform you that you were not selected for this position due to issues that may have involved:
  • Employment history;
  • Credit or financial history;
  • Discovered undisclosed information;
  • Dishonesty;
  • Incomplete application;
  • Other reason(s) as not listed.

  • (( Current administrative punishment on hand. ))
Under all circumstances, you are ineligible to reapply during the current recruitment drive as well as any concurrent recruitment drives for civilian employment. You may reapply three weeks from the date of your denial if 'open continuous' is ongoing.

Any formal appeal must be in writing and received by Personnel Administration Bureau Command within ten (10) business days from the postmark date of this letter. Please note, appeals may take 5-7 business days to be processed.

To appeal, you must demonstrate that the factors leading to your disqualification are in error.


Sincerely,

GARY HEWITT, SHERIFF

Neal Hahn, Captain
Personnel Administration Bureau
Image
Image
COMMANDER RALPH CISZEK
Area 1 Commander, Central Patrol Division
Los Santos County Sheriff's Department — "A Tradition of Service "
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