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: MR
FIRST: RANDALL
MIDDLE: DIETRICH
LAST: WINTERS
2. ADDRESS WHERE YOU LIVE
NUMBER / STREET: 186 Unknown
CITY: BLUEBERRY
STATE: SAN ANDREAS
3. CONTACT NUMBER
2889087
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?
[—] YES
[—] NO
[X] THIS DOES NOT APPLY TO ME
6. DATE OF BIRTH (DD/MMM/YYYY)
03/APR/1982
Page 2 of 5
TITLE: MR
FIRST: RANDALL
MIDDLE: DIETRICH
LAST: WINTERS
2. ADDRESS WHERE YOU LIVE
NUMBER / STREET: 186 Unknown
CITY: BLUEBERRY
STATE: SAN ANDREAS
3. CONTACT NUMBER
2889087
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?
[—] YES
[—] NO
[X] THIS DOES NOT APPLY TO ME
6. DATE OF BIRTH (DD/MMM/YYYY)
03/APR/1982
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?
[X] YES
[—] NO
3. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
April 2025 – Failure to Yield at an Intersection resulting in a motor vehicle accident
Page 3 of 5
[X] YES
[—] NO
2. HAVE YOU RECEIVED ANY TRAFFIC CITATIONS IN THE PAST 3 YEARS?
[X] YES
[—] NO
3. IF "YES" TO THE ABOVE, PLEASE EXPLAIN (INCLUDE WHEN, WHERE AND CIRCUMSTANCES)
April 2025 – Failure to Yield at an Intersection resulting in a motor vehicle accident
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: United States Army
Position: 11-C Indirect Fire Infantryman
Duties Summary: Indirect fire infantry support as a mortarman for 8 years; promoted to squad leader in 2008 supervising 4-5 soldiers in indirect fire; promoted to platoon sergeant in 2015; retired as a Sergeant First Class and platoon sergeant in 2019.
Employment Term: 05/FEB/2000 to 18/MAR/2019
Reason for Leaving: Retirement as a Sergeant First-Class (SFC), Honorable Discharge
Company/Agency Name: Star Street Butcher Shop
Position: Butcher
Duties Summary: Preparation of various meats, sandwiches, etc. in service of an active butcher shop
Employment Term: 15/MAR/2025 to 15/APR/2025
Reason for Leaving: Business closure
Company/Agency Name: Roze Enterprise
Position: Staff I – RTL and Security Operations
Duties Summary: Operation of a truck in logistics operations, delivering various crates of goods to clients across the state; serving as a security officer for cash-in-transit operations, nightclub security, etc.
Employment Term: 28/APR/2025 to Present
Reason for Leaving: Currently Employed
3. FILL BELOW IF YOU HAVE APPLIED FOR A STATE AGENCY BEFORE, OR BEEN EMPLOYED BY ONE
Date Filed:
Agency Name:
Result of Examination/Application:
Reason:
Date Filed:
Agency Name:
Result of Examination/Application:
Reason:
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)
None
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: United States Army
Position: 11-C Indirect Fire Infantryman
Duties Summary: Indirect fire infantry support as a mortarman for 8 years; promoted to squad leader in 2008 supervising 4-5 soldiers in indirect fire; promoted to platoon sergeant in 2015; retired as a Sergeant First Class and platoon sergeant in 2019.
Employment Term: 05/FEB/2000 to 18/MAR/2019
Reason for Leaving: Retirement as a Sergeant First-Class (SFC), Honorable Discharge
Company/Agency Name: Star Street Butcher Shop
Position: Butcher
Duties Summary: Preparation of various meats, sandwiches, etc. in service of an active butcher shop
Employment Term: 15/MAR/2025 to 15/APR/2025
Reason for Leaving: Business closure
Company/Agency Name: Roze Enterprise
Position: Staff I – RTL and Security Operations
Duties Summary: Operation of a truck in logistics operations, delivering various crates of goods to clients across the state; serving as a security officer for cash-in-transit operations, nightclub security, etc.
Employment Term: 28/APR/2025 to Present
Reason for Leaving: Currently Employed
3. FILL BELOW IF YOU HAVE APPLIED FOR A STATE AGENCY BEFORE, OR BEEN EMPLOYED BY ONE
Date Filed:
Agency Name:
Result of Examination/Application:
Reason:
Date Filed:
Agency Name:
Result of Examination/Application:
Reason:
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)
None
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: /s/ RANDALL WINTERS
DATE: 06/MAY/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: /s/ RANDALL WINTERS
DATE: 06/MAY/2025
Page 5 of 5
(( SECTION 5: OUT OF CHARACTER ))
1. WHAT IS YOUR TIME ZONE (GMT)?
GMT -5:00 New York USA
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)
2014, Banned from PD by Foran and SD by Aline for suing them too often on an alternate character (and winning all of my cases) – later overturned by Head of Legal Factions as an unfair punishment.
2018, Banned from participation in the courts by the Chief Justice at the time for vexatiously litigating cases – later overturned by the Head of Legal Factions as an unfair punishment that was not in accordance with LS-RP's rules.
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 — PERMISSION PROOF)
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 -5:00 New York USA
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)
2014, Banned from PD by Foran and SD by Aline for suing them too often on an alternate character (and winning all of my cases) – later overturned by Head of Legal Factions as an unfair punishment.
2018, Banned from participation in the courts by the Chief Justice at the time for vexatiously litigating cases – later overturned by the Head of Legal Factions as an unfair punishment that was not in accordance with LS-RP's rules.
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 — PERMISSION PROOF)
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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