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 Commission Regulation 1953.
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 that they deliberately withhold or misrepresent job-relevant information from their prospective employer. Failure to meet the department's minimum requirements for transfer will also result in automatic rejection.
- 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 "D.N.A." (does not apply) in the space provided for your response.
- Send the completed form to your background investigator or the agency to which you are applying. Do NOT send the form to POST.
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 that they deliberately withhold or misrepresent job-relevant information from their prospective employer. Failure to meet the department's minimum requirements for transfer will also result in automatic rejection.
BOTTOM LINE: You are responsible for providing complete, accurate, and truthful responses.
1. PERSONAL INFORMATION
1. FIRST NAME
Raymond
2. MIDDLE NAME
James
3. LAST NAME
Rockwell
4. DATE OF BIRTH
Month: 10
Date: 07
Year: 1960
5. PLACE OF BIRTH
Date: 07
Year: 1960
Los Santos, San Andreas
6. GENDER
[X] Male
[—] Female
[—] Other
7. RACE
[—] Female
[—] Other
[X] White
[—] Black or African American
[—] Hispanic or Latino
[—] American Indian or Alaska Native
[—] Asian
[—] Filipino-American
[—] Native Hawaiian or Other Pacific Islander
[—] None of the Above
[—] Two or More Races
[—] Black or African American
[—] Hispanic or Latino
[—] American Indian or Alaska Native
[—] Asian
[—] Filipino-American
[—] Native Hawaiian or Other Pacific Islander
[—] None of the Above
[—] Two or More Races
PROCEED TO NEXT PAGE
2. EMPLOYMENT HISTORY
8. PLACE OF EMPLOYMENT
(( Company/Agency Name: Blaine County Sheriff's Office
Position: Captain
Duties Summary: Unit Commander, Investigations Division
Employment Term: -
Reason for Leaving: - ))
Position: Captain
Duties Summary: Unit Commander, Investigations Division
Employment Term: -
Reason for Leaving: - ))
(( Company/Agency Name: Los Santos County Sheriff's Department
Position: Deputy Sheriff (Bonus II) / Detective
Duties Summary: Acting Operations Sergeant, West Vinewood Detective Bureau
Employment Term: 30/MAR/2026
Reason for Leaving: - ))
Position: Deputy Sheriff (Bonus II) / Detective
Duties Summary: Acting Operations Sergeant, West Vinewood Detective Bureau
Employment Term: 30/MAR/2026
Reason for Leaving: - ))
PROCEED TO NEXT PAGE
4. BACKGROUND QUESTIONNAIRE
9. IN ADDITION TO ENGLISH, I KNOW THE FOLLOWING LANGUAGE(S)
N/A
PROCEED TO NEXT PAGE
5. DECLARATION & ACKNOWLEDGEMENT
I, the undersigned, do herein agree that the information aforementioned is true and complete to the best of my knowledge under the penalty of perjury. I further agree and understand that the information provided will be utilized by the Los Santos County Sheriff's Department for the purposes of employment & preliminary background investigation for the position of Deputy Sheriff Trainee. I further understand that the Los Santos County Sheriff's Department employs candidates with no regard to race, religion, sexual orientation, creed, ethnicity, veteran status, or disability. I agree that if selected to move forward with the hiring process, I will abide by the hiring standards as prescribed by the Sheriff of Los Santos County and his designated deputies.
10. SIGNATURE
10. SIGNATURE
Raymond Rockwell
12. DATE
Month: 04
Date: 20
Year: 1997
Date: 20
Year: 1997
PROCEED TO NEXT PAGE
(( 6. OUT OF CHARACTER QUESTIONS ))
13. MY TIMEZONE & CURRENT COUNTRY OF RESIDENCE
GMT +2, Egypt
14. MY DISCORD HANDLE
shadyxo
15. MY USER CONTROL PANEL USERNAME
Shady
16. LIST OF ALL CURRENT CHARACTERS ON MY UCP ACCOUNT
- Raymond Rockwell
D.N.A.
20. I CURRENTLY POSSESS A WORKING MICROPHONE, AND I CAN USE TEAMSPEAK 3
[X] Yes
[—] No
21. PROOF OF EMPLOYEMNT
22. DESIRED RANK AND/OR ASSIGNMENT
[—] No
Lieutenant
23. I HAVE READ AND UNDERSTOOD THE "IMPORTANT READ" TOPICS BEFORE SUBMITTING THIS APPLICATION, CHARACTER EXPECTATIONS AND PORTRAYAL AS WELL AS CORE VALUES AND MISSION STATEMENT:
[X] Yes
[—] No
[—] No
STOP — END OF APPLICATION
