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: Niliwynn
  First: Tristan
  Middle: DNA

2. Birthdate:

• 16/JUN/1993

3. Birthplace:

• San Fierro, County of San Fierro, San Andreas

4. Sex:

• [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:

• 6 ft 1 in

7. Weight:

• 175 lbs

8. Address:

• 1082 Santa Maria Boulevard, Verona Beach, Los Santos 313, San Andreas

9. Contact Number:

• 2366263

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:

• French & Arabic

Page 2 of 6

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

• Name of School: University of Las Venturas
  Enrollment Term: 15/AUG/2017 to 15/MAY/2022
  Location: Las Venturas, County of Las Venturas, San Andreas, United States
  Type of Degree Earned: Bachelor of Arts
  Major/Area of Study: Sociology with a focus on Criminology

13. Job Experience:

• Name of Employer: IBL Union Company
  Employment Term: 29/AUG/2024 to This day
  Job Title/Rank: Equipment Operator
  Duties/Assignments: Equipment Operators are trained specialists who manage cranes, forklifts, trucks, and other heavy machinery to move cargo containers around the port. Your role involves a high level of skill and responsibility to ensure safe and efficient operations, including delivering goods to the state of San Andreas.

14. If you have served in the military, please indicate which branch:

• [—] Army
  [—] Navy
  [—] Air Force
  [—] Marines
  [X] Coast Guard
  [—] National Guard/Reserves
  [—] 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?

• [X] Yes
  [—] 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: Tristan Niliwynn

Page 6 of 6

24. Timezone (GMT):

• +1

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

• ACCESS

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

• Tristan Niliwynn

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

• Tristan Niliwynn

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

• Tristan Niliwynn — ACCESS

29. Were you previously a member of the Los Santos Police Department?

• [—] Yes
  [X] No
  
  • 29.1. If YES, provide a link to your most recent reinstatement request:
    • DNA
    29.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
    • DNA

30. Are you currently in an official faction?

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

31. Do you have TeamSpeak 3 and a working microphone?

• [X] Yes
  [—] No

32. Attach a copy of your character's background story:

• Spoiler: show

  Tristan Niliwynn grew up in the heart of Los Santos, raised by a single mother who juggled two jobs to provide for him and his younger sister, Maya. Despite the challenges of his rough upbringing in the inner city, Tristan was known for his street smarts and charisma. He emerged as a natural leader, respected by his peers, and had a talent for getting things done effectively.
  
  Tristan is a calm and calculated individual, avoiding trouble whenever possible but prepared to handle conflicts when necessary. His loyalty to those he cares about is unwavering, although he doesn't trust easily. Resourceful and strategic, Tristan always has a plan—whether it's for making money, protecting his family, or navigating the dangerous streets of Los Santos.
  
  Determined to make an honest living, Tristan has faced the constant temptation of the underground world and the easy money it offers. This internal struggle is compounded by his desire to set a good example for his sister, who is now in college. Feeling the pressure to keep her safe from the life he knows all too well, Tristan is caught between the straight and narrow path and the familiarity of his old ways. As tensions escalate in the city and old rivals resurface, Tristan finds himself drawn back into the fray, forced to navigate the perilous balance between survival and loyalty.
  
  In his pursuit of a better life, Tristan has developed a strong sense of duty and justice. Inspired by his experiences and the need to protect his community, he has decided to channel his skills and knowledge into serving as a police officer. His goal is to provide a positive influence in Los Santos, using his understanding of the streets to bridge the gap between law enforcement and the community.