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: McCulloguh
  First: William
  Middle: DNA

2. Birthdate:

• 19/AUG/1993

3. Birthplace:

• Los Santos, LS County, San Andreas, United States of America

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:

• 173 lbs

8. Address:

• 721, Hawick Ave.

9. Contact Number:

• 3181274

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:

• DNA

Page 2 of 6

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

• Name of School: Davis High School
  Enrollment Term: 24/AUG/2006 to 01/JAN/2010
  Location: Los Santos, LS County, San Andreas, United States of America
  Type of Degree Earned: Diploma High School.
  Major/Area of Study: DNA

13. Job Experience:

• Name of Employer: Cypress Logistics
  Employment Term: 01/NOV/2019 to 17/SEPT/2023
  Job Title/Rank: Truck Driver
  Duties/Assignments: Deliver multiples goods across Los Santos County.

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):
    • DNA

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:
    • DNA

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:
    • DNA

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: WILLIAM MCCULLOUGH

Page 6 of 6

24. Timezone (GMT):

• GMT -3

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:

• William McCullough

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

• William McCullough

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

• William McCullough — 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:
    • DNA
    30.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
    • DNA

31. Are you currently in an official faction?

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

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

  William McLough, born in 1993 on the night of August 19, 1993, in Washington D. C., was 8 months of suffering for his mother., and much more when she found out that her son was born premature, at the time of birth, he was underweight for being premature, however, he spent a month in an incubator, so that he could get to develop fully, after that month, life began to be a little more normal, His parents, who were able to pay for the hospital treatments, gave him the best life possible, sending him to a public school, where he would go completely unnoticed by his classmates, he talked to few kids, was somewhat introverted, insecure, had an average height and slim shape, He did not stand out for his grades, he passed with just enough, and that's how he stayed for quite some time, at 14 years old he moved to the city of Los Santos, where he would have a life somewhat different from what he was used to, new school, his father kept the same job, but in a different city, He had to make a few other friends in the new school, since he had to adapt to the new way of life that his family would have adopted, his mother continued to maintain order in the house, where they adopted a Weimeraner puppy, which was William's way of support in the complicated moments of his life.
  Due to his family formed by his father George Hernandez and his mother Bethany Lawrence and their jobs, George works in a sawmill, and Bethany was in charge of keeping order in the house, at almost 17 years old, he began to help his parents economically, he managed to get his driver's license, he worked helping his father in the sawmill, doing pretty basic things, he got a small salary to contribute to his house and buy what he needed, either for his studies or for his own pleasure, then he got his driver's license, since the sawmill was close to his house, he used the vehicle to go to college, where he was trained with the requirements that were requested within the police force of Los Santos.