Los Santos Police Department
PRELIMINARY BACKGROUND APPLICATION – Police Service Representative 2207
(Rev 03/2022)
PRELIMINARY BACKGROUND APPLICATION – Police Service Representative 2207
(Rev 03/2022)
Instructions to the Applicant
The below online application includes the City of Los Santos Police Department Preliminary Background Application and Certification form. Please review the application thoroughly and complete all required sections as appropriate, ensuring all phone numbers and contact information are accurate. Failure to follow instructions and provide a complete application is grounds for removal from the process.
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.
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The below online application includes the City of Los Santos Police Department Preliminary Background Application and Certification form. Please review the application thoroughly and complete all required sections as appropriate, ensuring all phone numbers and contact information are accurate. Failure to follow instructions and provide a complete application is grounds for removal from the process.
- • It is your responsibility to complete this form and provide all the required information.
• Following instructions given by the hiring department, type or neatly print in black ink.
• 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 for your response.
• By submitting this application you consent to the Los Santos Police Department conducting criminal and financial background checks on you, including your past criminal charges, criminal and civil court appearances, and social media history. This data is used in compliance with data protection laws and is not stored in our databases.
• (( Your application must be posted in the Civilian Employment forum. ))
• (( Your application must be titled: Firstname Lastname ))
• (( Your answers should only replace the fields that say "Answer." Not outside the colour code box. ))
• (( Do not edit the application format in any way. You may add additional fields to any area or questions. ))
• (( You may be non-select if your application requires a "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. ))
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.
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SECTION 1: PERSONAL
1. Your Full Name:
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- Last: Gardell
First: Chuck
Middle: Aaron
- 28/Jun/1990
- Los Santos, Los Santos, San Andreas, USA.
- [M] Male
[—] Female
- [—] Black
[—] Hispanic
[—] Asian
[X] Caucasian
[—] Pacific Islander
[—] American Indian or Alaskan Native
[—] Filipino
[—] Two or more races
- 6 ft 1 in
- 148 lbs
- 999 Sundown Creek Street, Fort Carson, Bone County 855
- 9000009
- [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
- [—] Yes
- 10.1. If NO, are you a resident alien who is eligible and has applied for U.S. citizenship?
- None
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SECTION 2: EDUCATION, EXPERIENCE, AND EMPLOYMENT
- • List ALL jobs you have had, including part-time, temporary, self-employment, and volunteer. (Begin with your most current.)
• If you have military experience, including reserve duty, enter your military base, assignments, or unit of assignment.
12. List all high schools, colleges, and universities attended:
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- Name of School: Las Colinas High School
Enrollment Term: 03/Sep/2002 to 05/May/2006
Location: Las Colinas, Bone County, San Andreas, USA.
Type of Degree Earned: High School Diploma
Major/Area of Study: English language Arts
- Name of Employer: I.B.L. Port of East Beach
Employment Term: 12/Jan/2025 to 06/Jun/2025
Job Title/Rank: Fleet & Terminal Manager.
Duties/Assignments: Driving, Maintenance, Logistics.
- Name of Employer: Bureau Of Street Services
Employment Term: 11/Dec/2024 to 02/Jan/2025
Job Title/Rank: Street Service machine Operator
Duties/Assignments: Graffiti removal, Road Maintenance
- [—] Army
[—] Navy
[—] Air Force
[—] Marines
[—] Coast Guard
[—] National Guard/Reserves
[X] This does not apply to me
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SECTION 3: CIVILIAN EMPLOYMENT JOB SECTION
15. You must select one of the following job entries which are available for employment within the Los Santos Police Department.
- [X] Police Service Representative 2207
[—] Public Relations Specialist 9410
[—] Criminalist 2234
SECTION 4: MOTOR VEHICLE INFORMATION
16. Do you have a valid San Andreas driver's license?
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- [X] Yes
[—] No
- [—] Yes
[X] No
- 17.1. If YES, explain (include when, where, and circumstances):
- DNA
- 17.1. If YES, explain (include when, where, and circumstances):
- [—] Yes
[X] No
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SECTION 5: LEGAL
- • This section requires you to report detentions, arrests, and convictions, As a peace officer applicant, you are required to disclose this information unless specifically exempted by state or federal law.
• For the purpose of responding to Question 20, “illegal drugs” include the unauthorized or illegal use of prescription medications or over-the-counter drugs; it also includes the illegal use of any other substance for the purpose of getting “high".
• For the purpose of Question 22, consider "under the influence" as when you may have been arrested if stopped by the police.
19. 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?
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- [—] Yes
[X] No
- 19.1. If YES, explain each incident:
- DNA
- 19.1. If YES, explain each incident:
- [—] Yes
[X] No
- [—] Yes
[X] No
- 21.1. If YES, give details including drug(s) used, most recent date, and circumstances:
- DNA
- 21.1. If YES, give details including drug(s) used, most recent date, and circumstances:
- [X] Never
[—] Within the last 6 months
[—] Within the last 12 months
[—] More than 12 months ago
- [—] Yes
[X] No
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SECTION 6: CERTIFICATION
24. 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: Chuck Gardell
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Signature in Full: Chuck Gardell

Date: DD/MMM/YYYY
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(( SECTION 6: OUT OF CHARACTER ))
- • Do not edit or crop your admin record screenshots in Question 29. The only exception to this is blacking/blurring out your IP address.
• Prior to filling out Question 34, please ensure that your character background story meets the criteria stated in (( NOTICE — Character Development and Expectations )).
25. Timezone (GMT):
29. Provide unedited screenshots for admin records for all of your characters: 30. Provide unedited screenshots of /stats on all of your characters:
- + 9:30
- [Shaid_Rach] Chumley_Goone (<30)
- [Shaid_Rach] Darek_Dryja (2)
- [Shaid_Rach] Satoru_Nakamura (<30)
- [Rachael] Satoro_Nakajima (22)
- [Rachael] Reggie_Daveed (<22)
- [Rachael] Rachael_Speers (<222)
- [Rachael] Rachael_Ames (<22)
29. Provide unedited screenshots for admin records for all of your characters: 30. Provide unedited screenshots of /stats on all of your characters:
- Chuck Gardell — ACCESS
- Darek Dryja — ACCESS
- Satoro Nakajima — ACCESS
- [—] Yes
[X] No
- 31.1. If YES, provide a link to your most recent reinstatement request:
31.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
- DNA
- 31.1. If YES, provide a link to your most recent reinstatement request:
31.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
- [X] Yes
[—] No
- 32.1. If YES, provide a link to your double faction approval:
- [X] Yes
[—] No
34. Attach a copy of your character's background story:- Spoiler: show