LSPD applaction_Jac Carmine

Today's Date(DD/MM/YYYY):2/5/2012
( In Character Qustions )
Last Name:Carmine
First Name:Jac
Middle Name(s):Harry
Date of Birth(DD/MM/YYYY):12/12/1985
Present Address:Idlewood Appartment 3
Phone Number(s):18866

Sex (optional):Male
Race (optional):
Height:160
Weight:75

Education:None
Current Employment:None

Birthplace:LS
Nationality:english
Driver's license:Yes
Weapon's license:No

Previous comitted cimes:

Current physical, medical and mental condition:
Have you ever had Law enforcement experience:No

Reason of wanting to become a Los Santos Police Department employee:I want to keep the streets of Los Santos Safe and protected





APPLICANT'S STATEMENT
I certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct. I further certify that I, the undersigned applicant, have personally compvleted this application. I understand that any omission or misstatement on this application or on any documents used to secure employment may be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I authorize the Los Santos Police Department to thoroughly investigate my work records, education and other matters related to my suitability for employment and to contact my current and previous employers. I fully understand that the Los Santos Police Department conducts a background investigation of all applicants. This investigation includes, but is not limited to, an investigation of my past employment performance, school records, military, police driving records and character traits. I authorize any person, school, current and former employers, law enforcement authorities, and organizations named in the application and this supplemental application to provide and release any information and opinions concerning my background, without giving me prior notice of such disclosure. I release such persons and organizations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand and agree that if I am employed, my employment relationship with the Los Santos Police Department is strictly voluntary and at our mutual will. I understand that if employed, my employment is for no definite period and may be terminated at any time, with or without prior notice, with or without cause or reason, at the option of either myself or the Los Santos Police Department, and that no promises or representations contrary to the forgoing are binding on the Los Santos Police Department unless made in writing and signed jointly by the Chief of the department and myself.

My signature below certifies that I have read and understand the instructions, conditions and other information provided in this document and that I hereby authorize release of all above listed records to the Los Santos Police Department.

Signature:Jac_Carmine