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:Krawczyk
  First:Janek
  Middle: DNA

2. Birthdate:

• 23/JUN/1996

3. Birthplace:

• Los Santos, Los Santos, San Andreas

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 1 in

7. Weight:

• 259 lbs

8. Address:

• 2223 Brailsford Street, Glen Park, Los Santos 206, San Andreas

9. Contact Number:

• 1548109

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, Spanish

Page 2 of 6

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

• Name of School: Los Santos High School
  Enrollment Term: 01/SEP/2010 to 10/JUN/2014
  Location: Los Santos, Los Santos, San Andreas, United States of America
  Type of Degree Earned: High School Diploma
  Major/Area of Study: General Studies

• Name of School: University of San Andreas
  Enrollment Term: 01/SEP/2014 to 15/JUN/2018
  Location: Los Santos, Los Santos, San Andreas, United States of America
  Type of Degree Earned: Bachelor's degree
  Major/Area of Study: Business Administration (with a concentration in Logistics)

• Name of School: Vespucci University
  Enrollment Term: 01/SEP/2018 to 10/JUN/2020
  Location: Algonquin, Liberty City, State of Liberty, United States of America
  Type of Degree Earned: Masters's degree
  Major/Area of Study: Logistics & Supply Chain Management

13. Job Experience:

• Name of Employer: Beeker's Garage
  Employment Term: 16/DEC/2015 to 21/JUL/2018
  Job Title/Rank: Mechanic
  Duties/Assignments: Diagnose and repair vehicle engines and transmissions

• Name of Employer: Port of East Beach (I.B.L Local 1218)
  Employment Term: 16/DEC/2022 to 28/FEB/2025
  Job Title/Rank: Fleet Vehicle Supervisor/Longshoreman
  Duties/Assignments: Fleet Maintenance and Scheduling/Cargo Handling

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: Janek Krawczyk

Page 6 of 6

24. Timezone (GMT):

• GMT +3

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

• ACCESS

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

• Current: Janek Krawczyk; Previous: Charles Filler
  Current: Benjamin Fletcher; Previous: Donald McDunnough/Vincent Carrington
  Current: Manuel Fuentes; Previous: None
  Current: Chamaun Sykes; Previous: None

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

• Janek Krawczyk; Benjamin Fletcher; Manuel Fuentes; Chamaun Sykes

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

• Janek Krawczyk — ACCESS

• Benjamin Fletcher — ACCESS

• Chamaun Sykes — ACCESS

• Manuel Fuentes — 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 a working microphone and access to TeamSpeak 3?

• [X] Yes
  [—] No
  [—] I have access to TeamSpeak 3 but do not have a working microphone.

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

• Spoiler: show

  Janek Krawczyk came into the world in 1996, right in Los Santos, San Andreas, to a Polish-Jewish family. His dad, Marek, had immigrated from Poland and worked as a mechanic, and his mom, Zofia, was a librarian. Growing up, Janek really grasped the value of hard work. You know, he spent many weekends in the garage, lending a hand to his father, soaking in all those practical skills.
  After wrapping up high school, Janek decided to go for a Bachelor's degree in Business Administration, focusing on Logistics. While he was hitting the books, he also took a part-time job as a mechanic at Beeker's Garage. That experience was a game-changer for him—he got a solid grip on diagnostics and vehicle repair, and he learned how crucial it is to be efficient and pay attention to the little details. It kept him grounded and taught him how to tackle problems on the fly, especially when the pressure was on.
  Fast forward to 2018, and Janek graduated with a Master’s degree in Logistics & Supply Chain Management. Soon after, he landed a job at the Port of East Beach, starting off as a longshoreman. He was busy handling cargo, operating equipment, and making sure everything moved smoothly. It was a tough job, no doubt, but it gave him a front-row seat to logistics operations. He learned to manage stress, work with all kinds of people, and figure out conflicts as they popped up.
  Then, in 2023, he got a promotion to fleet vehicle supervisor. In this role, he was in charge of maintaining and operating the port’s machinery and vehicles. It was a mix of technical skills and leadership, and Janek adapted quickly. His background in logistics and equipment management really helped him cultivate a strong sense of responsibility, precision, and the ability to think critically, especially in those high-stress situations.
  Now, with all that experience under his belt, Janek is thinking about switching gears. He’s looking to join the police force, believing that his knack for handling high-pressure environments and problem-solving could be a real asset in law enforcement.