[DST] Daniel Bednarski [DQ]

[Daniel Bednarski]

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

• Daniel

2. MIDDLE NAME

• Martin

3. LAST NAME

• Bednarski

4. DATE OF BIRTH

• Month: 02
  Date: 26
  Year: 1994

5. PLACE OF BIRTH

• Kazimierz Dolny, Poland

6. GENDER

• [x] Male
  [—] Female
  [—] Other

7. RACE

• [x] 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

8. HEIGHT

• In feet: 6'
  In inches: 1"

9. WEIGHT

• In pounds: 188

10. MARTIAL STATUS

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

11. ADDRESS OF PRIMARY RESIDENCY

• Street Number & Name: Bay City Avenue, Perrara Beach Motel, Room 4
  City: Los Santos
  State: San Andreas
  Zip: 90012

12. PRIMARY PHONE NUMBER

• 94379755

13. EMAIL ADDREESS

• [email protected]

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2. EDUCATION HISTORY

14. LEVEL OF EDUCATION

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

15. SCHOOL OF ATTENDANCE

• School Name: University of California
  Enrollment Term: 09/1/2012 to 06/28/2016
  Course of Study: Criminal Justice

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3. EMPLOYMENT HISTORY

16. FIRST PLACE OF EMPLOYMENT

• Company/Agency Name: United States Marine Corps
  Position: Staff Sergeant
  Duties Summary: Rifleman, commanding a squad of ten men. Deployed twice in Afghanistan.
  Employment Term: 08/13/2016 to 11/13/2021
  Reason for Leaving: Heavily injured during deployment

17. SECOND PLACE OF EMPLOYMENT

• Company/Agency Name: Davis Gas Station
  Position: Cashier
  Duties Summary: Process customers, restock shop supplies.
  Employment Term: 01/13/2022 to 01/14/2022
  Reason for Leaving: D. N. A.

18. THIRD PLACE OF EMPLOYMENT

• Company/Agency Name: D. N. A.
  Position: D. N. A.
  Duties Summary: D. N. A.
  Employment Term: D. N. A.
  Reason for Leaving: D. N. A.

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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
  [—] Billboard
  [—] Other

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

• Polish

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: D. N. A.
  [x] Yes, I have formerly served
  • I have formerly served in the: United States Marine Corps
  [—] 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: D. N. A.
  [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: D. N. A.
  [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

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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

• Daniel Bednarski

31. DATE

• Month: 01
  Date: 14
  Year: 2022

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(( 6. OUT OF CHARACTER QUESTIONS ))

32. MY TIMEZONE

• UTC+1

33. MY USER CONTROL PANEL USERNAME

• Kibukaj

34. MY UNEDITED SCREENSHOT OF MY USER CONTROL PANEL ADMINISTRATIVE RECORD

• https://imgur.com/a/IWzfCS3

35. MY GTAWORLD FORUM ACCOUNT

• https://forum.gta.world/en/profile/49320-kibukaj/

36. MY DOUBLE FACTION PERMISSIONS

• D. 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: D. N. A.
  [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

• SPOILER: show

  

STOP — END OF APPLICATION

[Jay Teller]

January 14th, 2022

Dear Mr. Bednarski

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,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau

[Jay Teller]

Janaury 16th, 2022

Dear Mr. Bednarski

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

We have noticed one or more errors in your application and may not process it further. The following issue(s) must first be corrected:

1. Q8 - Please list a valid height.
2. ((Q34 - Please take, show the UCP time on the side bar to he left - also please click full record to show your full record))
3. ((Q40 - Image is 404'd please reupload))

You have 24 hours to correct the aforementioned issue(s). Once corrected, you must forward a reply, stating that amendments have been made.

Sincerely,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau

[Daniel Bednarski]

The addressed issues have been corrected.

[Jay Teller]

Janaury 18th, 2022

Dear Mr. Bednarski

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

We have noticed one or more errors in your application and may not process it further. The following issue(s) must first be corrected:

1. Q8 - Please list a valid height.

You have 24 hours to correct the aforementioned issue(s). Once corrected, you must forward a reply, stating that amendments have been made.

Sincerely,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau

[Daniel Bednarski]

I have amended the application.

[Jay Teller]

January 19th, 2022

Dear Mr. Bednarski

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,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau

[Gary Hewitt]

January 23, 2022

Dear Mr. Bednarski,

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

We are pleased to inform you that you have passed your Written Test. The next step in the recruitment process is to attend a Structured Interview with a Background Investigator. At your earliest convenience, please report to the Hall of Justice in formal clothing at 300 Innocence Boulevard, Los Santos, San Andreas. Make sure to bring an identification card, a copy of this invitation, and relevant diplomas.

(( The Hall of Justice can be located here.

You can use "/gps Hall of Justice" in-game to find the location. There will not always be someone working the reception desk, if you arrive and no one is at the desk feel free to walk past and head up to the second floor where the Personnel Administration Bureau is located. Keep in mind your ID would have been checked along with all other required paperwork and your name would be forwarded to the Pre-Employment Unit deputies.

At this point wait in the lobby just outside the elevator until a deputy arrives to complete your interview. While the Structured Interview does not contain a Teamspeak portion, we ask you to join the Legal Factions Teamspeak (ts.gta.world) and wait in the "Lobby" channel under the Los Santos County Sheriff's Department channel family. A member of the Pre-Employment Unit will contact you depending on their availability and schedule the in-character interview. You are not required to wait here in-game and can just wait in Teamspeak until a deputy is available.

Please ensure that your name is in the following format: [APPLICANT] Firstname Lastname.

You may also join the LSSD Discord here and request the "Dept. Candidate" group in #group-requests. The group will give access to the #dept-candidate channel where you may schedule and request for your interview to be handled. Please keep common courtesy in mind and do not make repeated requests over a short period of time in the channel. ))

Sincerely,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau

[Robert Malone]

February 9, 2022

Dear Mr. Bednarski:

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 involving your Structured Interview.

Under all circumstances, you are ineligible to move forward in the current recruitment drive and as such, you are disqualified and may reapply in three weeks from the date of your denial.

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,

JOSEPH CLINE, SHERIFF

James Holston, Lieutenant
Personnel Administration Bureau