CORRECTIONAL OFFICER PERMISSIVE REINSTATEMENT APPLICATION
[SPACER]
A. PERSONAL INFORMATION
- A1. Forename: Charlotte.
A2. Surname: Hampton.
A3. Middle Name: N/A.
A4. Gender: [ ] Male [X ] Female
A5. Ethnicity: [X ] Caucasian [ ] African American [ ] Hispanic [ ] Middle Eastern [ ] Asian [ ] Other
A6. Legal Address: 1178 Mirror Park Boulevard.
B. REINSTATEMENT INFORMATION
- B1. Department history: Was in DCR for 10 years before I moved away.
- Rank: Sergeant.
Date of Termination / Resignation: 30/OCT/2019
Reason for leaving:
B2. Why would you like to be considered for permissive reinstatement?- <Answer here>.
- Rank: Sergeant.
C. EMPLOYMENT WHILE ON ABSENCE
- 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.
C1. Have you been employed while on absence from the Department? [ ] Yes [X ] No
C2. If not, why have you not?- N/A.
- Company Name:
Job Title/Rank:
Reason for leaving:
C4. Have you served in the United States Armed Forces while on absence from the Department? [ ] Yes [x ] No
C5. If yes, fill the form below:- Branch: Army / Marines / Navy / Air Force / Coast Guard
Military Occupational Specialty code:
Reason for leaving:
C6. Have you served in a law enforcement agency while on absence from the Department? [ ] Yes [x ] No
C7. If yes, fill the form below:- Name of agency:
Rank / Position:
Reason for leaving:
D. CERTIFICATION
- 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 SIGNATURE: Charlotte Hampton.
DATE: 06/NOV/2023
(( E. OOC INFORMATION ))
- E1. Timezone: UTC +0
E2. Age: 24
E3. Gender: Male.
E4. Link to your Notice Board Termination/Resignation topic:
E5. Explain the OOC circumstances of your Termination/Resignation:- <Answer here>.
- <Answer here>.
E8. List and link of all current and past LSRP forums accounts:Spoiler: showE9. List and link of screenshots of updated admin records:Spoiler: showE10. Are you currently a member of another official faction? [x ] Yes [ ] NoSpoiler: show
E11. If yes, provide a link to SADCR Double Faction permission: ACCESS