Code: Select all

 FIRSTNAME LASTNAME - Employment Application

Code: Select all

[divbox=white][center][color=transparent][SPACER][/color][/center]
[aligntable=right,0,25,0,0,0,transparent][right][size=80]DEPARTMENT OF CORRECTIONS
OFFICE OF PEACE OFFICER SELECTION AND EMPLOYEE DEVELOPMENT
COVER SHEET[/size][/right][/aligntable][size=80]STATE OF SAN ANDREAS
[b]PERSONAL HISTORY STATEMENT
SADCR 1902 (Rev. 06/19)[/b][/size][line][/line]

[size=130][b][center]PERSONAL HISTORY STATEMENT[/center][/b][/size][line][/line]
[color=transparent][SPACER][/color]
[divbox=#000000][color=#FFFFFF]A. PERSONAL INFORMATION[/color][/divbox]
[list=none][b]A1.[/b] First Name: 
[b]A2.[/b] Middle Name:
[b]A3.[/b] Last Name:

[b]A4.[/b] Date of Birth: 
[b]A5.[/b] Place of Birth:

[b]A6.[/b] Gender: [-] Male [-] Female
[b]A7.[/b] Ethnicity: [-] Caucasian [-] African American [-] Hispanic [-] Middle Eastern [-] Asian [-] Other
[b]A8.[/b] Physical Description:
[list=none]Height: 0' 0'' 
Weight: 000 lbs
Hair Color: Color 
Eye Color: Color
[/list]

[b]A9.[/b] Legal Address: 
[b]A10.[/b] Contact Number: 
[b]A11.[/b] Contact Email: 

[b]A12.[/b] Citizenship: [-] U.S. Citizen [-] Naturalized citizen [-] Legal alien [-] U.S. citizenship applicant [-] None of the above

[b]A13.[/b] Languages spoken: [-] English [-] Spanish [-] Japanese [-] Chinese [-] Russian [-] Korean [-] Vietnamese [-] Arabic [-] Other: [i]Specify[/i]
[/list]
[divbox=#000000][color=#FFFFFF]B. LICENSE INFORMATION[/color][/divbox]
[list=none][b]B1.[/b] Licenses possessed: [-] Driver's License [-] License to Purchase a Firearm (PF License) [-] License to Carry a Concealed Weapon (CCW License)

[b]B2.[/b] Have any of the above licenses ever been suspended and/or revoked? [-] Yes [-] No
[b]B3.[/b] If yes, please explain: 
[/list]

[divbox=#000000][color=#FFFFFF]C. EDUCATION[/color][/divbox]
[list=none]List your level of education and any educational institution you have attended in the forms below, including high schools, colleges, and universities. If more space is required, attach additional forms as necessary.

[b]C1.[/b] Check the boxes if you meet the requirements: [-] General Education Diploma [-] High School Diploma [-] Associate's Degree [-] Bachelor's Degree [-] Master's Degree [-] Doctorate

[b]C2.[/b] List of High School(s) attended:
[list=none]Name of High School:
Address:
Highest Grade Completed:
[/list]
[b]C3.[/b] List of Colleges and Universities attended:
[list=none]Name of College/University:
Address:
Type of Degree:
Major / Area of Study: 
[/list][/list]
[divbox=#000000][color=#FFFFFF]D. EXPERIENCE AND EMPLOYMENT[/color][/divbox]
[list=none]
[b]D1.[/b] Employment History: List all previous employment you have had in the forms below, including self-employment, part-time and full-time jobs, temporary and volunteer work and internships. If more space is required, attach additional forms as necessary.
[list=none]Company Name:
Job Title / Rank:
Reason for leaving:
[/list]
[b]D2.[/b] Have you ever been disciplined at work? [-] Yes [-] No
[b]D3.[/b] If yes, please explain: 

[b]D4.[/b] Military Service: List your military experience, including service branch, military occupational specialty (MOS) code and type of discharge received upon separation from the armed forces. If more space is required, attach additional forms as necessary.
[list=none]Have you served in the United States Armed Forces?: [-] Yes [-] No
Branch: Army / Marines / Navy / Air Force / Coast Guard
Military Occupational Specialty Code:
Type of Discharge:
[/list]

[b]D5.[/b] Law Enforcement Experience: List any position held within a law enforcement agency, including civilian, non-sworn positions, and indicate the name of the agency, rank or position held and reason for separation. If more space is required, attach additional forms as necessary.
[list=none]Have you served in a law enforcement agency? [-] Yes [-] No
Name of agency:
Rank / Position:
Reason for leaving:
[/list][/list]

[divbox=#000000][color=#FFFFFF]E. CERTIFICATION[/color][/divbox]
[list=none]I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or if hired, termination of employment. 

I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S. 

I understand that SADCR will check with law enforcement agencies for any criminal history in accordance with applicable statutes. 

I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.

This application for employment shall be considered active for a period of time not to exceed 14 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

APPLICANT NAME: [i]NAME_HERE[/i]
APPLICANT SIGNATURE: [i]SIGNATURE_HERE[/i]
DATE: [i]DATE_HERE[/i][/list]
[divbox=#000000][color=#FFFFFF](( F. OOC INFORMATION ))[/color][/divbox]
[list=none][b]F1.[/b] Timezone: GMT +0

[b]F2.[/b] Screenshot of the in-game statistics (/stats) of the character you are applying with: [url=picture_url_here]ACCESS[/url]

[b]F3.[/b] List of all current characters and past character names, current levels and name of current faction:

[spoiler="Character 1."]
(CURRENT) Firstname_Lastname — Level X — Current Faction's Name
char1_previous_name_1
char1_previous_name_2
char1_previous_name_3
[/spoiler]
[spoiler="Character 2."]
(CURRENT) Firstname_Lastname — Level X — Current Faction's Name
char2_previous_name_1
char2_previous_name_2
char2_previous_name_3
[/spoiler]

[b]F4.[/b] List and link of all current and past LSRP forums accounts:
[spoiler][list=1][*] [url=account_url_here]FORUM_ACCOUNT_NAME[/url]
[*][url=account_url_here]FORUM_ACCOUNT_NAME[/url][/list][/spoiler]
[b]F5.[/b] List and link of screenshots of admin records for all characters:
[spoiler][list=1][*] [url=picture_url_here]Screenshot #1[/url]
[*][url=picture_url_here]Screenshot #2[/url][/list][/spoiler]
[b]F6.[/b] Have you ever been banned from a legal faction? [-] Yes [-] No
[b]F7.[/b] If yes, fill the form below:
[spoiler][list=1][*] Name Surname — Faction — Date — Reason for ban — Unbanned / Still banned
[*]Name Surname — Faction — Date — Reason for ban — Unbanned / Still banned[/list][/spoiler]

[b]F8.[/b] Do you have a microphone? [-] Yes [-] No
[b]F9.[/b] Do you have TeamSpeak 3 and are you prepared to use it? [-] Yes [-] No

[/list]



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