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 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.


Page 1 of 6

1. Your Full Name:

• Last: Lopez
  First: Mike
  Middle: D.N.A

2. Birthdate:

• DD/MMM/YYYY

3. Birthplace:

• City, County, State, Country

4. Sex:

• [X] Male
  [—] Female

5. Race/Ethnic Category:

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

6. Height:

• 6ft

7. Weight:

• 190Ibs

8. Address:

• Westmont Avenue Wilowfield 415

9. Contact Number:

• 1798723

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:

• Spanish

Page 2 of 6

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

• Name of School: Wilowfield High School
  Enrollment Term: 01/SEP/2018 to 14/JUN/2022
  Location: Los Santos, Los Santos, San Andreas, United States
  Type of Degree Earned: High School diploma
  Major/Area of Study: History

13. Job Experience:

• Name of Employer: Jefferson Mechanics
  Employment Term: 18/OCT/2022 to 15/FEB/2024
  Job Title/Rank: Mechanic
  Duties/Assignments: Fixing all types of cars

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: Mike Lopez

Page 6 of 6

24. Timezone (GMT):

• GMT+2

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:

• D.N.A

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

• Mike Lopez

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

• Mike Lopez — 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:
    • D.N.A
    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:
    • D.N.A

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

  Mike Lopez is born on March 15th 2002 in a small home near Willowfield where he lived his childhood with his family of his two older brothers and his Father and Mother.He was the third and the youngest of all childs from Maria and David Lopez but also the most loved one because he was youngest.Mike started going to Wilowfield elementary school when he was seven and he pretty much liked school most of the time.In elementary school he often provided a good grades and his parents would be very proud of him.After elementary school Mike decided he wants to go to Wilowfield High School where he was offered a very good schoolarship based on his amazing soccer performances where he after just first year was named the captain of his soccer team where he showed very good leadership skills.After High School Mike finished his education because his parents couldn't afford sending their beloved son to college.After that Mike started looking for a job so he could help and provide for his family and parents where he finds a job in company Called Jefferson Mechanics.Mike wasn't very happy about his job primarily because he would always leave bad smell behind him caused by oil leaking from car so after little more than a year Mike gave resignation to his job and his father suggested him to apply to some Law Enforcment Agency and behalf of that Mike decided that LSPD suits him the best.