San Andreas Department of Corrections
-1.00) APPLICANT INFORMATION
2.00) ACKNOWLEDGEMENT FORM
- 1.01) LEGAL NAME: Barry West
- 1.02) PHONE NUMBER: N/A
- 1.03) E-MAIL: firstname.lastname@example.org ((CaRrOt#0749))
- 1.04) RESIDENCY ADDRESS: N/A
- 1.05) RANK AT RESIGNATION / DISCHARGE: Lt.
- 1.06) REASON FOR REINSTATEMENT: I want to continue making changes to the DoC and improve the department.
I, NAME HERE, by my signature below, do certify that as of the date indicated below, I am able to meet the following eligibility standards for the Department of Corrections. I understand that I can be denied for any reason deemed necessary by the Office of the Warden. I also state that all the information I have given is correct to the best of my knowledge.
- I certify that I am at least 21 years old.
- I certify that I am a citizen of San Andreas.
- I certify that I have not committed a felony crime, nor committed any misdemeanor involving the commission of an act contrary to the moral conscience of the general public.
- I certify that I do not abuse prescription drugs and/or alcohol. I also certify that I do not use illegal drugs.
- I certify that I have not falsified any information I have or will provide on this application.
- I certify that I have not received an infraction for any traffic violations within the last six months.
- I am aware that, if my application is accepted, the rank offered to me may not be the rank I held when I resigned from the Department.
- APPLICANT SIGNATURE: B. West
- DATE: 22/JAN/2021
Correctional Special Operations Bureau Director,
Captain, Barry West
Tactical Response Unit | Command
Overwatch Air and Patrol | Command