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: Henry
  First: George
  Middle: D.N.A

2. Birthdate:

• 14/FEB/1998

3. Birthplace:

• Los Santos, Los Santos, San Andreas, USA

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:

• 5 ft 90 in

7. Weight:

• 187 lbs

8. Address:

• 1281 Unity Boulevard, El Corona, Los Santos 516, San Andreas

9. Contact Number:

• 2863271

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:

• D.N.A

Page 2 of 6

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

• Name of School: Los Santos High School
  Enrollment Term: 22/SEP/2004 to 15/JUN/2016
  Location: Los Santos, Los Santos, San Andreas, USA
  Type of Degree Earned: High School Diploma
  Major/Area of Study: Scientific path

13. Job Experience:

• Name of Employer: ROZE Enterprise
  Employment Term: 9/AUG/2024 to 22/SEP/2024
  Job Title/Rank: Bouncer
  Duties/Assignments: Guarding the Door

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: George Henry

Page 6 of 6

24. Timezone (GMT):

• GMT+3

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

• https://community.ls-rp.com/profile/13211-h7in/

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

• George Henry, Alexei Corbin

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

• George Henry

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

• George Henry, Alexei Corbin — 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:
    • ACCESS
    29.2. If YES, what was your character name, when did you leave the faction, and what was the nature of your leave?
    • D.N.A

30. Are you currently in an official faction?

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

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

  George Henry, a 27 year old white male, was born in San Andreas, Los Santos, Jefferson, he received the attention of his parents as their only child. He finished High School in 2015 and then worked with his father in the workshop looking like an assistant manager but he quit the first half of his year working with his father. his youth was very similar to the youth of others as he sat at home, Playing video games, Going out with his friends, and Studying. The biggest moment in his life was when he received the news of his father's death in a car accident.
  
  George mother, Leah Henry, who was a high school teacher, became unable to pay the mortgage on her apartment. As such, the now two-person family had to move to Vinewood. There. He rose to the occasion and took on his father's role, starting a part-time job as a cashier at a local store to help his mother with living expenses. Growing up, it was rare for George to have any form of interaction with law enforcement other than just seeing them patrolling the neighborhood. Despite that, George Henry was fascinated by all types of law enforcement. Intrepidity, Unity, Brotherhood - these are the things George admired. And because these values resonated with him, he developed a passion for law enforcement. And because these values resonated with him, He aspired to become a deputy sheriff as soon as the opportunity arose.
  George graduated high school with grades that were barely good enough to get him into a respectable college. Barton never liked studying, and after graduating high school, he was happier than ever. He continued working as a part-time cashier while doing some side jobs he found online. Henry got heavily involved in drop shipping, making enough money to move out of his home in Vespucci to a cheap apartment. George decided that drop shipping was not his passion, so he quit while he was ahead and started working full-time as a cashier, After that, he decided to work as a driving instructor in a small company, where his job was to train and then test to qualify for the city driving test. After holding the job for a few months, George pursued his passion. One day, he finally decided to follow his childhood dream and applied for a deputy sheriff position in Los Santos County as soon as the ranks opened. Once they opened their requirement for city deputy sheriffs in hopes of finding a career that would make him happy and satisfied with his life.
  
  George became fascinated with the sense of honor, heroism, and duty that the sheriff provided. He aspired to be a difference-maker, someone who saves lives, maintains peace and organizes those around him for the better. As such, his strong fascination with law enforcement became a lifelong dream for him. When he was a teenager, an unforgettable situation happened to him.
  
  George enjoys good health and physical strength, and he possesses self-discipline. He suffers from some negatives that could harm his health, such as a lack of interest in daily sports activities and abandoning them. George has excessive ambition, which could lead him to feel frustrated if he does not achieve his goals quick..