[FT] Daniel Wojcik [WITHDRAWN]

[Daniel Wojcik]

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 non-sworn position of Public Response Dispatcher.

• 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.

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

• D.N.A.

3. LAST NAME

• Wojcik

4. DATE OF BIRTH

• Month: 12
  Date: 07
  Year: 2001

5. PLACE OF BIRTH

• Atlanta, Georgia

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: 170lbs

10. MARITAL STATUS

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

11. ADDRESS OF PRIMARY RESIDENCY

• Street Number & Name: The Emissary Apartment Complex, Floor 7 Room 7
  City: Los Santos
  State: San Andreas
  Zip: 90350

12. PRIMARY PHONE NUMBER

• 100005952

13. EMAIL ADDREESS

• [email protected]

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2. EDUCATION HISTORY

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: North Atlanta High School
  Enrollment Term: 09/01/2016 to 06/01/2020
  Course of Study: History

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3. EMPLOYMENT HISTORY

16. FIRST PLACE OF EMPLOYMENT

• Company/Agency Name: Express Car Service
  Position: Driver, HR
  Duties Summary: Taxi driver, employing new personnel.
  Employment Term: 01/06/2024 to present day.
  Reason for Leaving: Still employed.

17. SECOND PLACE OF EMPLOYMENT

• Company/Agency Name: VIG Insurance
  Position: Security Officer
  Duties Summary: Doing security work for events.
  Employment Term: 10/18/2023 to present day.
  Reason for Leaving: Still employed.

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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
  [—] Social Media
  [—] College Campus
  [—] Career Fair or Seminar
  [—] LSSD Employee
  [—] LS County Employee
  [—] Family Member
  [—] Friends or Neighbors
  [X] Radio
  [—] Billboard
  [—] Other

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

• Serbian, 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.
  [—] Yes, I have formerly served
  • I have formerly served in the: D.N.A.
  [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: 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 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.

30. SIGNATURE

• D. Wojcik

31. DATE

• Month: 01
  Date: 27
  Year: 2024

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(( 6. OUT OF CHARACTER QUESTIONS ))

32. MY TIMEZONE

• GMT+3

33. MY USER CONTROL PANEL USERNAME

• Andrei

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

• SPOILER: show

  

35. MY GTAWORLD FORUM ACCOUNT

• Andrei1

36. MY DOUBLE FACTION PERMISSIONS

• D.N.A.

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

• [X] Yes
  • Elaboration: Was discharged from G6 after shooting detective.
  [—] No

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

• [X] Yes
  [—] No

39. 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

[Antonio Morgan]

OFFICE OF THE SHERIFF

GREGORY REZNIK LOS SANTOS COUNTY SHERIFF

HALL OF JUSTICE 301 INNOCENCE BOULEVARD

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January 30, 2024

Dear Mr. Wojcik,

We have received your application and qualifications for the position of Fleet Technician. 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,


Gregory Reznik, Sheriff



Zachary Metzger, Captain
Training Bureau

[Antonio Morgan]

OFFICE OF THE SHERIFF

GREGORY REZNIK LOS SANTOS COUNTY SHERIFF

HALL OF JUSTICE 301 INNOCENCE BOULEVARD

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January 30, 2024

Dear Mr. Wojcik,

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

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. Q1:5 - Please input your place of birth
2. Q2:15 - English is not a course of study in high school
3. (( Q6:39 - Please re-read the instructions ))

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

Sincerely,



Gregory Reznik, Sheriff



Zachary Metzger, Captain
Training Bureau

[Daniel Wojcik]

-

Ammended the issues.

[Daniel Wojcik]

Withdrawing.

[Samuel Castaneda]

OFFICE OF THE SHERIFF

GREGORY REZNIK LOS SANTOS COUNTY SHERIFF

HALL OF JUSTICE 301 INNOCENCE BOULEVARD

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January 31, 2024

Dear Mr. Wojcik:

We have evaluated your application and qualifications for the position of Fleet Technician 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.
• (( Withdrawn as per the request. ))

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 Training 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,


Gregory Reznik, Sheriff



Zachary Metzger, Captain
Training Bureau