Instructions to the Applicant
The information you provide in this Application will be used in the background investigation to assist in determining your suitability for the position of San Andreas Peace Officer, in accordance with POST.
- 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. Check applicable boxes with an "X". If a question does not apply to you, write “D.N.A” (does not apply) in the space provided for your response.
- By submitting this form, you affirm that you have read and understood the Essential Job Functions and Selection Requirements of the position applied for.
- (( Preview your application before submitting it to make sure that all the BBCode works properly. If it does not, use the blank application format as a guidance tool to fix it. Try to avoid touching the BBCode and only fill out text answers, and that way it will not break. ))
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 5
SECTION 1: PERSONAL INFORMATION
1. YOUR LEGAL NAME
TITLE: MS
FIRST: Jessica
MIDDLE: Watson
LAST: Rodriguez
2. ADDRESS WHERE YOU LIVE
NUMBER / STREET: 124 Arbot Vitae Street
CITY: Los Santos City
STATE: San Andreas
3. CONTACT NUMBER
4. CITIZENSHIP
[X] U.S. CITIZEN
[—] RESIDENT ALIEN WHO IS ELIGIBLE AND APPLIED FOR U.S. CITIZENSHIP
[—] OTHER
5. IF "OTHER" TO THE ABOVE, DO YOU HAVE YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES?
[X] YES
[—] NO
[—] THIS DOES NOT APPLY TO ME
6. DATE OF BIRTH (DD/MMM/YYYY)
21/AUG/1997
Page 2 of 5
TITLE: MS
FIRST: Jessica
MIDDLE: Watson
LAST: Rodriguez
2. ADDRESS WHERE YOU LIVE
NUMBER / STREET: 124 Arbot Vitae Street
CITY: Los Santos City
STATE: San Andreas
3. CONTACT NUMBER
2287949
4. CITIZENSHIP
[X] U.S. CITIZEN
[—] RESIDENT ALIEN WHO IS ELIGIBLE AND APPLIED FOR U.S. CITIZENSHIP
[—] OTHER
5. IF "OTHER" TO THE ABOVE, DO YOU HAVE YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES?
[X] YES
[—] NO
[—] THIS DOES NOT APPLY TO ME
6. DATE OF BIRTH (DD/MMM/YYYY)
21/AUG/1997
Page 2 of 5
SECTION 2: MOTOR VEHICLE INFORMATION
1. DO YOU HAVE A VALID DRIVER'S LICENSE
[X] YES
[—] NO
2. HAVE YOU RECEIVED ANY TRAFFIC CITATIONS IN THE PAST 3 YEARS?
[—] YES
[X] NO
3. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
D.N.A
Page 3 of 5
[X] YES
[—] NO
2. HAVE YOU RECEIVED ANY TRAFFIC CITATIONS IN THE PAST 3 YEARS?
[—] YES
[X] NO
3. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
D.N.A
Page 3 of 5
SECTION 3: EMPLOYMENT AND EDUCATION
1. WHAT IS YOUR HIGHEST LEVEL OF EDUCATION
[X] HIGH SCHOOL DIPLOMA
[—] G. E. D.
[—] SAN ANDREAS HIGH SCHOOL PROFICIENCY CERTIFICATE
[—] COLLEGE / UNIVERSITY
2. YOUR EMPLOYMENT HISTORY
Company/Agency Name: Pentex Security Services.
Position: Security Officer II
Duties Summary: Operating as a full-time Security Officer under Pentex Security Services, providing high quality security surveillance and patrol services to our customers.
Employment Term: 12/MAR/2021 to 27/AUG/2024
Reason for Leaving: Personal reasons, went to pursue a better career.
3. FILL BELOW IF YOU HAVE APPLIED FOR A STATE AGENCY BEFORE, OR BEEN EMPLOYED BY ONE
4. PLEASE LIST ANY LANGUAGES KNOWN OTHER THAN ENGLISH YOU CAN READ, WRITE, OR SPEAK IN AND NOTATE THE LEVEL ON EACH (READING, WRITING, OR SPEAKING; BASIC, INTERMEDIATE, OR FLUENT)
Spanish: Writing - Basic | Speaking - Intermediate
French: Writing - Basic | Speaking - Basic
Page 4 of 5
[X] HIGH SCHOOL DIPLOMA
[—] G. E. D.
[—] SAN ANDREAS HIGH SCHOOL PROFICIENCY CERTIFICATE
[—] COLLEGE / UNIVERSITY
2. YOUR EMPLOYMENT HISTORY
Company/Agency Name: Pentex Security Services.
Position: Security Officer II
Duties Summary: Operating as a full-time Security Officer under Pentex Security Services, providing high quality security surveillance and patrol services to our customers.
Employment Term: 12/MAR/2021 to 27/AUG/2024
Reason for Leaving: Personal reasons, went to pursue a better career.
3. FILL BELOW IF YOU HAVE APPLIED FOR A STATE AGENCY BEFORE, OR BEEN EMPLOYED BY ONE
D.N.A
4. PLEASE LIST ANY LANGUAGES KNOWN OTHER THAN ENGLISH YOU CAN READ, WRITE, OR SPEAK IN AND NOTATE THE LEVEL ON EACH (READING, WRITING, OR SPEAKING; BASIC, INTERMEDIATE, OR FLUENT)
Spanish: Writing - Basic | Speaking - Intermediate
French: Writing - Basic | Speaking - Basic
Page 4 of 5
SECTION 4: BACKGROUND CHECK
The County of Los Santos is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records that are exempted by a valid court order do not have to be disclosed.
I have read and understand that I will be granted the right to provide an explanation regarding any convictions revealed during my background check.
SIGNATURE:
DATE: 07/AUG/2025
Page 5 of 5
I have read and understand that I will be granted the right to provide an explanation regarding any convictions revealed during my background check.
SIGNATURE:
DATE: 07/AUG/2025
Page 5 of 5
(( SECTION 5: OUT OF CHARACTER ))
1. WHAT IS YOUR TIME ZONE (GMT)?
2. LS-RP FORUM PROFILE LINK - USE ADDITIONAL LINES FOR ANY ADDITIONAL ACCOUNTS:
3. PROVIDE AN UNEDITED SCREENSHOT OF YOUR LOGIN SCREEN SHOWING ALL CHARACTERS & A SEPARATE UNEDITED (DATE AND TIME DISPLAYED ON TASKBAR) SCREENSHOT OF YOUR ADMIN RECORD (ONE OF YOUR CHARACTERS MUST BE LEVEL 3 - USE ADDITIONAL LINES FOR ANY ADDITIONAL ACCOUNTS):
4. HAVE YOU EVER BEEN BANNED FROM A LEGAL OFFICIAL FACTION?
[X] YES
[—] NO
5. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
I have been from LSGOV, SADCR, LSPD and LSFD over complications that happened a few months ago.
The LSFD was the most recent as when I tried to apply, I mentioned the faction that I happen to be blacklisted from the SADCR, Gov, LSPD and the LSSD which immedetially led to the LSFD to blacklist me themselves as they're afraid that I'm too much of a " wild card " to be brought into the faction. Mind you that such faction bans were 11 months old with the faction leaders ignoring me and refusing to properly discuss this elongated eternal ban.
As for the SADCR, apparently the faction's leader mentioned me having some attitude issues after I got into an issue with a helper that was the cause of all of this and decided to faction ban me out of no where.
Fair enough, I tried to communicate with him regarding this incident, but it seems like there was some bias on his side as I wasn't enable to communicate with him and I kept receiving nos and insults from him as if he enjoys keeping me blacklisted from his faction weirdly enough.
This is further backed about him mentioning my progress in other servers such as GTA:W and wishing me luck in them indirectly...
Excuse me, if you wish me luck in other servers and you're aware of my capabilities. Why don't you atleast allow me to prove my perspective on things so we can discuss?
As for Gov, faction banned for not mentioning the PF abuse ban. I tried to speak to Sid recently as it's been like 10 months. However, he kept ignoring me, insulting me, calling me a retard, saying a lot of terrible stuff about me behind my back and he recently blocked me.
As for the LSPD, I asked a leader if I can join his faction and he responded by saying: "Ain't no way that I'm letting a retard like you in my faction, fuck off"
I don't understand the cause behind his unprofessional behaviour, but oh well.
And as for the LSSD, it's been a very complicated situation with this faction.
As far as I'm concerned, I first applied on Thomas Schofield and apparently was denied in relation to my old incidents. I don't remember doing this but someone told me that I did, so I'm mentioning it.
Fast foward, I applied on Kimberly Arellano and I managed to pass the WT, the SI, the PAE and got invited into the faction.
However, due to my horrible luck and probably the Arcane Curse that's haunting me in this community, I was kicked out on my first day because I didn't mention the bans on my old account that I thankfully recovered because that account was lost at the time. For perspective, it took me almost a week to recover the email and recover the account.
Fast forward to few more months, I applied on Kimberly Arellano again and was denied because I also forgot to mention stuff that I wasn't even aware of nor informed about. But yes, I was denied and put on a six months blacklist.
And here I am applying again after being informed by one of my friends that somebody from the ASD gave me the greenlight to apply. I won't lie to the leadership to say that my expectations and hopes are extremely low, however.
I blame myself for what's happening to me, it's not the factions leaders' fault.
6. ARE YOU AN ACTIVE MEMBER OF ANOTHER OFFICIAL FACTION? IF YES STATE THE FACTION AND PROVIDE A PROOF WITH THE DOUBLE FACTION PERMISSION (FOUND HERE)
[—] YES
[X] NO
(Faction name — D.N.A)
7. ARE YOU ABLE TO USE TEAMSPEAK WITH A DECENT-QUALITY MICROPHONE?
[X] YES
[—] NO
8. PROVIDE YOUR CHARACTER'S BACKGROUND STORY INCLUDING ALL THE INHERENT INFORMATION, SUCH AS DEVELOPMENT AND TRAITS. DISCUSS THE MOTIVES BEHIND THEIR WISH TO JOIN THE LOS SANTOS COUNTY SHERIFF'S DEPARTMENT (250 WORDS MINIMUM, 800 WORDS MAXIMUM)
NOTE: THE USAGE OF ARTIFICIAL INTELLIGENCE(AI) TOOLS SUCH AS CHATGPT IS STRICTLY PROHIBITED AND WILL RESULT IN AUTOMATIC DISQUALIFICATION OF YOUR APPLICATION.
GMT+1
2. LS-RP FORUM PROFILE LINK - USE ADDITIONAL LINES FOR ANY ADDITIONAL ACCOUNTS:
3. PROVIDE AN UNEDITED SCREENSHOT OF YOUR LOGIN SCREEN SHOWING ALL CHARACTERS & A SEPARATE UNEDITED (DATE AND TIME DISPLAYED ON TASKBAR) SCREENSHOT OF YOUR ADMIN RECORD (ONE OF YOUR CHARACTERS MUST BE LEVEL 3 - USE ADDITIONAL LINES FOR ANY ADDITIONAL ACCOUNTS):
4. HAVE YOU EVER BEEN BANNED FROM A LEGAL OFFICIAL FACTION?
[X] YES
[—] NO
5. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
I have been from LSGOV, SADCR, LSPD and LSFD over complications that happened a few months ago.
The LSFD was the most recent as when I tried to apply, I mentioned the faction that I happen to be blacklisted from the SADCR, Gov, LSPD and the LSSD which immedetially led to the LSFD to blacklist me themselves as they're afraid that I'm too much of a " wild card " to be brought into the faction. Mind you that such faction bans were 11 months old with the faction leaders ignoring me and refusing to properly discuss this elongated eternal ban.
As for the SADCR, apparently the faction's leader mentioned me having some attitude issues after I got into an issue with a helper that was the cause of all of this and decided to faction ban me out of no where.
Fair enough, I tried to communicate with him regarding this incident, but it seems like there was some bias on his side as I wasn't enable to communicate with him and I kept receiving nos and insults from him as if he enjoys keeping me blacklisted from his faction weirdly enough.
This is further backed about him mentioning my progress in other servers such as GTA:W and wishing me luck in them indirectly...
Excuse me, if you wish me luck in other servers and you're aware of my capabilities. Why don't you atleast allow me to prove my perspective on things so we can discuss?
As for Gov, faction banned for not mentioning the PF abuse ban. I tried to speak to Sid recently as it's been like 10 months. However, he kept ignoring me, insulting me, calling me a retard, saying a lot of terrible stuff about me behind my back and he recently blocked me.
As for the LSPD, I asked a leader if I can join his faction and he responded by saying: "Ain't no way that I'm letting a retard like you in my faction, fuck off"
I don't understand the cause behind his unprofessional behaviour, but oh well.
And as for the LSSD, it's been a very complicated situation with this faction.
As far as I'm concerned, I first applied on Thomas Schofield and apparently was denied in relation to my old incidents. I don't remember doing this but someone told me that I did, so I'm mentioning it.
Fast foward, I applied on Kimberly Arellano and I managed to pass the WT, the SI, the PAE and got invited into the faction.
However, due to my horrible luck and probably the Arcane Curse that's haunting me in this community, I was kicked out on my first day because I didn't mention the bans on my old account that I thankfully recovered because that account was lost at the time. For perspective, it took me almost a week to recover the email and recover the account.
Fast forward to few more months, I applied on Kimberly Arellano again and was denied because I also forgot to mention stuff that I wasn't even aware of nor informed about. But yes, I was denied and put on a six months blacklist.
And here I am applying again after being informed by one of my friends that somebody from the ASD gave me the greenlight to apply. I won't lie to the leadership to say that my expectations and hopes are extremely low, however.
I blame myself for what's happening to me, it's not the factions leaders' fault.
6. ARE YOU AN ACTIVE MEMBER OF ANOTHER OFFICIAL FACTION? IF YES STATE THE FACTION AND PROVIDE A PROOF WITH THE DOUBLE FACTION PERMISSION (FOUND HERE)
[—] YES
[X] NO
(Faction name — D.N.A)
7. ARE YOU ABLE TO USE TEAMSPEAK WITH A DECENT-QUALITY MICROPHONE?
[X] YES
[—] NO
8. PROVIDE YOUR CHARACTER'S BACKGROUND STORY INCLUDING ALL THE INHERENT INFORMATION, SUCH AS DEVELOPMENT AND TRAITS. DISCUSS THE MOTIVES BEHIND THEIR WISH TO JOIN THE LOS SANTOS COUNTY SHERIFF'S DEPARTMENT (250 WORDS MINIMUM, 800 WORDS MAXIMUM)
NOTE: THE USAGE OF ARTIFICIAL INTELLIGENCE(AI) TOOLS SUCH AS CHATGPT IS STRICTLY PROHIBITED AND WILL RESULT IN AUTOMATIC DISQUALIFICATION OF YOUR APPLICATION.
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