LOS SANTOS EMERGENCY SERVICES OFFICIAL DOCUMENT, PAGE 1 FORM CC-1001 www.lossantosemergencyservices.

com

LOS SANTOS EMERGENCY SERVICES APPLICATION FORM

1NAME: 2AGE: 3EMAIL

ADDRESS: NETWORK ID:

4OCCUPATION: 5PLAYSTATION 6COUNTRY: 7STATE/PROVINCE: 8PLACE

X CHARACTER IN THE PREFERRED DEPARTMENT OF OPERATION IN LSES: ( ) PATROL ( ) TRAFFIC ( ) CIVILIAN ( ) AVIATION ( ) N/A 9PLACE X CHARACTER IN THE OPTION BEST DESCRIBING LAW ENFORCEMENT EXPERIENCE: ( ) PROFESSIONAL/LEO ( ) EXPLORER ( ) ENTHUSIAST ( ) VIRTUAL ( ) N/A 10DETAIL ANY PRIOR EXPERIENCE IN EMERGENCY SERVICES/MILITARY/CLANS YOU POSSESS:

11PLACE

X CHARACTER IN ALL TIMES THAT APPLY OF WHEN AVAILABLE FOR OPERATIONS: ( ) 0000EST ( ) 0100EST ( ) 0200EST ( ) 0300EST ( ) 0400EST ( ) 0500EST ( ) 0600EST ( ) 0700EST ( ) 0800EST ( ) 0900EST ( ) 1000EST ( ) 1100EST ( ) 1200EST ( ) 1300EST ( ) 1400EST ( ) 1500EST ( ) 1600EST ( ) 1700EST ( ) 1800EST ( ) 1900EST ( ) 2000EST ( ) 2100EST ( ) 2200EST ( ) 2300EST 12WHY JOIN LSES?

1 Fill in your name. 2 Fill in your age. 3 Fill in your current, valid, and most active email address. 4 Fill in your current occupation (optional). 5 Fill in your current, valid, and most active Playstation Network ID. 6 Fill in the name of the country you reside in. 7 Fill in the name of the state or province you reside in. 8 Mark which department of operation of LSES you prefer to be in. -Patrol: The primary department of operation consisting of regular police operations in non-specialized fields. -Traffic: The department of operation specializing in motor vehicles and roadway logistics as well as motorcade operations and commercial vehicles. -Civilian: The part-time unofficial department consisting of personnel who role play as civilians, thugs, criminals, or other forms of citizen. -Aviation: The department of operation specializing in airborne and search operations in charge of flights in helicopters as well as fixed-wing aircraft. 9 Mark which option that best describes your experience with law enforcement. -Professional/LEO: You are actively employed by a law enforcement agency. COPYRIGHT 2013 LOS SANTOS EMERGENCY SERVICES CLAN All elements and features of the creation of this document with the exception of trademarked and rights reserved materials are created and utilized intentionally for relations with the Los Santos Emergency Services Clan solely. Any and all portions of this document may be modified, released, exhibited, shared, or presented any method with appropriate authorization from the creator of the document of Command Corps personnel. All properties in terms of creation or content are considered classified otherwise.

LOS SANTOS EMERGENCY SERVICES OFFICIAL DOCUMENT, PAGE 2 FORM CC-1001 www.lossantosemergencyservices.com

-Explorer: You are part of training, youth, or explorer program in law enforcement. -Enthusiast: You share interests and hobbies related to law enforcement. -Virtual: You are related to law enforcement or simulation in law enforcement virtually. 10 Detail any prior experience you have related to law enforcement or the military. 11 Mark which times (in Eastern Standard Time/GMT-5) you would be available during Fall and Winter. 12 Detail why you want to be a part of LSES.

Submit this document completed to email command@lossantosemergencyservices.com and title the subject LSES-CC-1001. Copy the entire document and paste it appropriately in your email message editor or word processor to complete and mark. Failure to correctly complete, mark, answer, and submit will result in a highly lowered possibility of acceptance to join LSES. It is highly encouraged correct grammar and spelling is utilized and professional tones and terms are highly recommended to use in the application. Application submission grants privacy of content you created in submission, however, Command Corps staff may utilize this application at their discretion, yet not reveal any details to any entity whatsoever. By submitting and utilizing this document or any element of this document for record, you agree to only utilize and interact with this document for the sole purpose of applying to LSES and fully understand any reproduction or recycling of this document in any other organization than LSES is prohibited and forbidden via copyright statures.

COPYRIGHT 2013 LOS SANTOS EMERGENCY SERVICES CLAN All elements and features of the creation of this document with the exception of trademarked and rights reserved materials are created and utilized intentionally for relations with the Los Santos Emergency Services Clan solely. Any and all portions of this document may be modified, released, exhibited, shared, or presented any method with appropriate authorization from the creator of the document of Command Corps personnel. All properties in terms of creation or content are considered classified otherwise.