Los Santos Police Department
PRELIMINARY BACKGROUND APPLICATION – Police Officer
(Rev 03/2022)
PRELIMINARY BACKGROUND APPLICATION – Police Officer
(Rev 03/2022)
Instructions to the Applicant
The information you provide in this Preliminary Background Application will be used in the background investigation to assist in determining your suitability for the position of City of Los Santos Police Officer, in accordance with San Andreas POST Commission Regulation 1953.
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.
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The information you provide in this Preliminary Background Application will be used in the background investigation to assist in determining your suitability for the position of City of Los Santos Police Officer, in accordance with San Andreas 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 “DNA” (does not apply) in the space provided.
• Send the completed form to your background investigator or the department. Do NOT send the form to POST.
• (( Your application must be titled "Firstname Lastname. ))
• (( Your answers should only replace the fields that say "Answer." It should not extend outside the color code box. ))
• (( Do not edit the application format in any way. You may add additional fields to any area or questions or replace hyperlinks with DNA. ))
• (( You may be non-select if your application is put on "Pending" status more than twice for formatting issues or missing questions. This is also the case in character. ))
• (( Upon completion of this application, your character will undergo a 'psychological evaluation'. This is entirely an NPC process. It is your responsibility to inform the Personnel and Training Division if your psychological evaluation fails or shows any concerns. ))
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.
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SECTION 1: PERSONAL
1. Your Full Name: Tion_Ricketts
2. Birthdate:
4. Sex: Male
5. Race/Ethnic Category:
6. Height:
7. Weight:
8. Address:
9. Contact Number:
10. Are you a U.S. citizen?
11. Besides English, please list any languages that you are able to read, write, or speak in:
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- Last: Ricketts
First: Tion
Middle: Andre
2. Birthdate:
- 24/Aug/2004
- Boston, Suffolk, Massachusetts, USA
4. Sex: Male
- [X] Male
[—] Female
5. Race/Ethnic Category:
- [X] Black
[—] Hispanic
[—] Asian
[—] Caucasian
[—] Pacific Islander
[—] American Indian or Alaskan Native
[—] Filipino
[—] Two or more races
6. Height:
- 5'4 in
7. Weight:
- 150lbs
8. Address:
- Jesse Owens Park, Willowfield, Los Santos
9. Contact Number:
- 2550405
10. Are you a U.S. citizen?
- [X] Yes
[—] No
- 10.1. If NO, are you a resident alien who is eligible and has applied for U.S. citizenship?
- [—] Yes
[—] No
[X] This does not apply to me
- [—] Yes
- 10.1. If NO, are you a resident alien who is eligible and has applied for U.S. citizenship?
11. Besides English, please list any languages that you are able to read, write, or speak in:
- Answer
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SECTION 2: EDUCATION, EXPERIENCE, AND EMPLOYMENT
- • List ALL jobs you have had, including part-time, temporary, self-employment, and volunteer. (Begin with your most current.)
• If you have military experience, including reserve duty, enter your military base, assignments, or unit of assignment.
12. List all high schools, colleges, and universities attended:
13. Job Experience:
14. If you have served in the military, please indicate which branch:
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- Name of School: Crenshaw High School
Enrollment Term: 06/FEB/2013 to 25/DEC/2017
Location: Crenshaw, Los Angeles , California, United States
Type of Degree Earned: GED
Major/Area of Study: Bachelor's Degree in English
13. Job Experience:
- Name of Employer: Krispy Kreme Donuts
Employment Term: 1/JUN/2019 to 15/SET/2019
Job Title/Rank: Donut Maker
Duties/Assignments: Making Donuts
14. If you have served in the military, please indicate which branch:
- [—] Army
[—] Navy
[—] Air Force
[—] Marines
[—] Coast Guard
[—] National Guard/Reserves
[X] This does not apply to me
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SECTION 3: MOTOR VEHICLE INFORMATION
15. Do you have a valid San Andreas driver's license?
16. Has your driver's license ever been suspended or revoked?
17. Have you received any traffic citations, excluding parking tickets within the past six months?
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- [X] Yes
[—] No
16. Has your driver's license ever been suspended or revoked?
- [—] Yes
[X] No
- 16.1. If YES, explain (include when, where, and circumstances):
- Answer
- 16.1. If YES, explain (include when, where, and circumstances):
17. Have you received any traffic citations, excluding parking tickets within the past six months?
- [—] Yes
[X] No
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SECTION 4: LEGAL
- • This section requires you to report detentions, arrests, and convictions, As a peace officer applicant, you are required to disclose this information unless specifically exempted by state or federal law.
• For the purpose of responding to Question 20, “illegal drugs” include the unauthorized or illegal use of prescription medications or over-the-counter drugs; it also includes the illegal use of any other substance for the purpose of getting “high".
• For the purpose of Question 22, consider "under the influence" as when you may have been arrested if stopped by the police.
18. Have you ever been detained by law enforcement for investigation, arrested, indicted, charged, or convicted of any misdemeanor or felony offense in this state or any other legal jurisdiction?
19. Are you aware of any pending criminal case(s) against you?
20. Have you ever used or experimented with any currently illegal drugs?
21. When was the last time you drove while under the influence of alcohol or drugs?
22. Has your work performance ever been affected by your use of alcohol or drugs?
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- [—] Yes
[X] No
- 18.1. If YES, explain each incident:
- Answer
- 18.1. If YES, explain each incident:
19. Are you aware of any pending criminal case(s) against you?
- [—] Yes
[X] No
20. Have you ever used or experimented with any currently illegal drugs?
- [—] Yes
[X] No
- 20.1. If YES, give details including drug(s) used, most recent date, and circumstances:
- Answer
- 20.1. If YES, give details including drug(s) used, most recent date, and circumstances:
21. When was the last time you drove while under the influence of alcohol or drugs?
- [X] Never
[—] Within the last 6 months
[—] Within the last 12 months
[—] More than 12 months ago
22. Has your work performance ever been affected by your use of alcohol or drugs?
- [—] Yes
[X] No
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SECTION 5: CERTIFICATION
23. I hereby certify that I have personally completed and initialed each page of this form and any attached supplemental page(s), and that all statements made are true and complete to the best of my knowledge and belief. I understand that any misstatement of material fact may subject me to disqualification; or, if I have been appointed, may disqualify me from continued employment.
Signature in Full: Firstname Lastname Tion_Ricketts
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Signature in Full: Firstname Lastname Tion_Ricketts
Date: DD/MMM/YYYY
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(( SECTION 6: OUT OF CHARACTER ))
- • Do not edit or crop your admin record screenshots in Question 29. The only exception to this is blacking/blurring out your IP address.
• Prior to filling out Question 34, please ensure that your character background story meets the criteria stated in (( NOTICE — Character Development and Expectations )).
24. Timezone (GMT):
25. Provide a link to your LS-RP community forum account:
**I CAN'T SEEM TO ACCESS THE COMMUNITY FORUMS, IT KEEPS CHECKING IF IM A HUMAN FOREVER
26. Provide a link to your LSPD forum account confirmation post:
27. List all current and past names under every character slot:
28. Provide unedited screenshots for admin records for all of your characters:
29. Provide unedited screenshots of /stats on all of your characters:
30. Were you previously a member of the Los Santos Police Department?
31. Are you currently in an official faction?
32. Do you have TeamSpeak 3 and a working microphone?
33. Attach a copy of your character's background story:
- GMT-5
25. Provide a link to your LS-RP community forum account:
**I CAN'T SEEM TO ACCESS THE COMMUNITY FORUMS, IT KEEPS CHECKING IF IM A HUMAN FOREVER
26. Provide a link to your LSPD forum account confirmation post:
27. List all current and past names under every character slot:
- Tion_Ricketts
28. Provide unedited screenshots for admin records for all of your characters:
29. Provide unedited screenshots of /stats on all of your characters:
- Tion Ricketts — ACCESS
30. Were you previously a member of the Los Santos Police Department?
- [—] Yes
[X] No
- 30.1. If YES, provide a link to your most recent reinstatement request:
30.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?- Answer
- 30.1. If YES, provide a link to your most recent reinstatement request:
31. Are you currently in an official faction?
- [—] Yes
[X] No
- 31.1. If YES, provide a link to your double faction approval:
32. Do you have TeamSpeak 3 and a working microphone?
- [X] Yes
[—] No
33. Attach a copy of your character's background story:
- Spoiler: show
