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:Grijalva
  First:Charles
  Middle:DNA

2. Birthdate:

• 27/10/1995

3. Birthplace:

• East LS, San Andreas, U.S

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:

• 6 ft 1 in

7. Weight:

• 187 lbs

8. Address:

• El Corona 322

9. Contact Number:

• 2038149

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:

• -Hispanic

Page 2 of 6

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

• Name of School: Esteban E. Torres High School
  Enrollment Term: 01/09/2012 to 27/06/2016
  Location: City, County, State, Country
  Type of Degree Earned: High School Diploma
  Major/Area of Study: DNA

13. Job Experience:

• Name of Employer: Sullogistics
  Employment Term: 15/07/2016 to 25/01/2020
  Job Title/Rank: Warehouseman
  Duties/Assignments: Storing goods and keeping them in flow.

• Name of Employer: Sullogistics
  Employment Term: 25/01/2020 to 01/06/2025
  Job Title/Rank: Forwarder
  Duties/Assignments: Determining the most optimal routes
  

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?

• [X] Yes
  [-] No
  
  • 18.1. If YES, explain each incident:
    • When I was 16, I was involved in a gang shooting in which I got shot. I was detained because of an investigation; there was no suspicious aimed at me by peace officers. I've been a victim.

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: Charles Grijalva

Page 6 of 6

24. Timezone (GMT):

• GMT+1

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

• [url=Ihttps://community.ls-rp.com/profile/20817-freekilljw/]ACCESS[/url]

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

• Charles Grijalva

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

• Charles Grijalva

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

• Charles Grijalva — 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

  Charles Grijalva comes from a family whose ancestors moved from Mexico to California several generations ago. They settled there to build a better life. Charles personally was a decent student; he didn't get much attention from his parents. That resulted in his small steps into gang activity with a small Sureños gang that was near the Grijalva family house. Charles didn't use violence in the gang; that way, he didn't get any records from LE agencies. You could tell that Grijalva was a tag-banger, but he didn't want to join the structures of the gang. He was pleased with spraying on walls of the neighborhood; that didn't last long. Other gang members wanted to test the loyalty of young Grijalva (16 y/o); he had to take part in a brawl with a hostile gang. When Charles arrived with others on enemy turf, he was a bit stressed; it didn't take long. A brawl started, and the gang that Grijalva “was” part of started winning the fight, and then one of the enemy bangers pulled out a gun. For us, the next 10 minutes were like hell. Grijalva had been shot twice, and sudden pain resulted in Charles losing consciousness. The rest of the group escaped from hostile turf; Charles was also beaten on top of that. The local LEA responded to the shots and served help to young Grijalva. He survived, but in time the wounds changed into scars that left a sign on Grijalva's psyche. After that, Charles stopped all his connections related to the gang and started paying attention to lessons, which resulted in better grades. Grijalva wants to help others, like local peacemakers did.