(( [LATERAL TRANSFER] Dominic Herrera ))

[Riley Knight]

Instructions to the Applicant

• 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 the agency which you are laterally transferring to. 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

• Herrera

2. MIDDLE NAME

• D.N.A

3. LAST NAME

• Dominic

4. DATE OF BIRTH

• Month: 01
  Date: 14
  Year: 1995

5. GENDER

• [X] Male
  [—] Female
  [—] Other

6. 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

7. HEIGHT

• In feet: 6
  In inches: 2

8. WEIGHT

• In pounds: 180

9. MARTIAL STATUS

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

10. ADDRESS OF PRIMARY RESIDENCY

• Street Number & Name: 4 Procopio Drive
  City: Paleto Bay
  State: San Andreas
  Zip: 59218

11. PRIMARY PHONE NUMBER

• 8001

12. EMAIL ADDREESS

• [email protected]

13. ARE YOU CURRENTLY IN GOOD HEALTH?

• [X] Yes
  [—] No

PROCEED TO NEXT PAGE

2. EMPLOYMENT INFORMATION

14. NAME OF PREVIOUS AGENCY

• Los Santos Police Department

15. PREVIOUS DEPARTMENT RANK

• Police Officer II

16. CAUSE FOR LEAVING

• Still employed

17. DATE OF RESIGNATION/TERMINATION

• Month: D.N.A
  Date: D.N.A
  Year: D.N.A

18. REASON FOR RESIGNATION/TERMINATION

• D.N.A

19. DESIRED RANK

• Deputy Sheriff

20. DESIRED PATROL STATION

• Davis Station

PROCEED TO NEXT PAGE

3. EMPLOYEE SUITABILITY REVIEW

21. ARE YOU ON GOOD TERMS WITH THE AGENCY FROM WHICH YOU ARE APPLYING TO TRANSFER FROM?

• [X] Yes
  [—] No
  • If NO, please explain: N/A

22. HAVE YOU BEEN PUNISHED INTERNALLY FOR BREACHING POLICY AT ANY POINT IN YOUR CAREER?

• [—] Yes
  [X] No
  • If YES, please explain: N/A

23. PLEASE DETAIL WHY YOU WISH TO TRANSFER TO THE SHERIFF'S DEPARTMENT AND PROVIDE A BRIEF EXPLANATION OF YOUR AMBITIONS WITHIN THE DEPARTMENT. (150 Min.)

• I was a Deputy Fire Marshal (bonus) in Sanfire and during my service I often worked together and liason'ed with LSSD and was inspired by them to take a more active part in law enforcement operations statewide. Watching the Sheriff's Department operate made me develop an innate desire to practical Law Enforcement and desire to serve in a more versatile capacity as a Sheriff's Deputy. Now that I have resigned from Sanfire I believe this is a prime opportunity for me to join the LSSD which has motivated me so much throughout my service and given me an ambition to expand my career within the Sheriff's Department.

24. PLEASE PROVIDE THE NAME OF ONE REFERENCE WITHIN YOUR PREVIOUS AGENCY WHO WILL PROVIDE A REFERENCE BASED ON YOUR PERFORMANCE. SUPERVISORS ARE PREFERRED BUT ANY SWORN OFFICER WILL DO

• Sergeant Jake Groomay

PROCEED TO NEXT PAGE

4. DECLARATION & ACKNOWLEDGEMENT

I declare that the foregoing statements are true and correct to the best of my knowledge and belief. I realize that falsification of any information on this application is grounds for disqualification. I further understand that any misrepresentation or omission of facts upon this application will be sufficient cause for cancellation and/or separation from service if I have been employed.

25. SIGNATURE

• R. Knight

26. DATE

• Month: 02
  Date: 01
  Year: 2025

PROCEED TO NEXT PAGE

(( 5. OUT OF CHARACTER INFORMATION ))

27. PLEASE PROVIDED A LINK TO A SCREENSHOT TO YOUR EXPANDED ADMINISTRATIVE RECORD

• ACCESS

28. ARE YOU ATTEMPTING TO JOIN THE FACTION UNDER A DIFFERENT NAME? IF SO, WHAT NAME?

• Riley Knight

29. PLEASE BRIEFLY EXPLAIN WHAT YOU INTEND TO BRING TO THE FACTION IN TERMS OF ROLEPLAY QUALITY AND CHARACTER DEVELOPMENT

• I never had any issues with character portrayal, I follow the natural growth of my character's development closely - their tenure and seniority within a particular field relating to how I'd approach a certain situation. Furthermore, I am looking to develop friendships and long lasting bonds outside of work and collaborate with others who engage with my character in designing an immersive and realistic portrayal of law enforcement.

30. IF YOU ARE CURRENTLY IN ANOTHER FACTION, PLEASE PROVIDE EVIDENCE OF YOUR DOUBLE FACTION PERMISSIONS

• D.N.A

31. LINK TO YOUR RESIGNATION

• D.N.A

STOP — END OF APPLICATION

[Eddie Orozco]

(( Submit the application in a PM to the LSSD: Executive Staff & LSSD: Command Staff usergroup. ))