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.

• • 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 Recruitment and Employment 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.


Page 1 of 6

1. Your Full Name:

• Last: Agnello
  First: Thomas
  Middle: D.N.A

2. Birthdate:

• 27/03/1990

3. Birthplace:

• Brooklyn, Kings County, New York, USA

4. Sex:

• [X] Male
  [—] Female

5. Race/Ethnic Category:

• [—] Black
  [—] Hispanic
  [—] Asian
  [X] Caucasian
  [—] Pacific Islander
  [—] American Indian or Alaskan Native
  [—] Filipino
  [—] Two or more races

6. Height:

• 6 ft 0 in

7. Weight:

• 170 lbs

8. Address:

• 2806-B Elysian Fields Fwy, Cypress Flats

9. Contact Number:

• 3218646

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

11. Besides English, please list any languages that you are able to read, write, or speak in:

• D.N.A

Page 2 of 6

12. List all high schools, colleges, and universities attended:

• Name of School: New Utrecht Highschool
  Enrollment Term: 08/09/2004 to 27/06/2009
  Location: Brooklyn, Kings County, USA
  Type of Degree Earned: High School Diploma
  Major/Area of Study: D.N.A

• Name of School: NYU Law
  Enrollment Term: 29/08/2009 to 15/05/2014
  Location: New York, New York County, USA
  Type of Degree Earned: Juris Doctorate
  Major/Area of Study: Criminal Justice

13. Job Experience:

• Name of Employer: D.N.A
  Employment Term: D.N.A
  Job Title/Rank: D.N.A
  Duties/Assignments: D.N.A

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

Page 3 of 6

15. Do you have a valid San Andreas driver's license?

• [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):
    • D.N.A

17. Have you received any traffic citations, excluding parking tickets within the past six months?

• [—] Yes
  [X] No

Page 4 of 6

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?

• [—] Yes
  [X] No
  
  • 18.1. If YES, explain each incident:
    • D.N.A

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:
    • D.N.A

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

Page 5 of 6

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: Thomas Agnello

Page 6 of 6

24. Timezone (GMT):

• -5 EST

25. Provide a link to your LS-RP community forum account:

• ACCESS

26. Provide a link to your LSPD forum account confirmation post:

• ACCESS

27. List all current and past names under every character slot:

• Thomas Agnello

28. Provide unedited screenshots for admin records for all of your characters:

• Thomas Agnello

29. Provide unedited screenshots of /stats on all of your characters:

• Thomas Agnello

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:
    • ACCESS
    30.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
    • D.N.A

31. Are you currently in an official faction?

• [—] Yes
  [X] No
  
  • 31.1. If YES, provide a link to your double faction approval:
    • ACCESS

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

  Hailing from New York, Thomas Agnello lived a normal childhood Italian American life in the Brooklyn Borough. Growing up an Italian American, Thomas wasn't always acutely aware of why his people were treated a certain way within New York, being extremely insulated within the neighborhood that he grew up. It was not until he witnessed for himself the violence that came with the American Mob, that he fully understood why the discrimination lay with the murder of his Father at the hands of a gambling debt that he had owed.
  
  Thomas vowed from an early age to make a difference, and change that perception that people had of Italian Americans. Although having grown up in the borough, Thomas understood that Italians had been disenfranchised by their own people, having taken advantage of their new found status in America, and made efforts to go to University to understand the legalities involved in cleaning up his neighborhoods, and making a stand for future people to be able to move in without fear of being harassed by criminal elements in their neighborhood.
  
  After finishing Highschool and completing full courses within New York University's Criminal Justice courses, Thomas made his way out to Los Santos to gain experience and broaden his horizons to bring back with him to his neighborhood in Brooklyn, to make a change.