Clan Membership Application Form

Real Full Name*

First NameLast Name

Enjin Name*

NickName*

E-mail*

Birth Date*

MonthDayYear

How did you find our community?*

Add Youtube Link*

GTA Police Mods Username:*

If You were referred by someone please put their name/username here:*

Do You have an authentic copy of GTA IV?*

GFWL/SAMP Username*

What Other types of games do you play?*

Gaming Platform*

Desired Position: (If Multiple pick your primary)*

Dispatch RecruitTrooper RecruitDetective Recruit

Can you add mods (images/cars) to your GTA Game? Not creating mods, just installing them.*

No, I need help.Yes I canYes, I am a mod Developer

Real Life Public Safety Experience (Current or Former):*

Have you ever been suspended or banned from any online gaming community, club, or group?*

NoYes, I will explain in "Tell Us About You"

Our games typically run most nights, around 7pm Eastern Time. With large numbers of people on Friday, Saturday, Sunday nights. Can you make those times?:*

Tell Us a bit about yourself*

Will you follow/agree with NJSP Community Guidelines?*

Disclaimer: By clicking submit application you agree all information presented in this application is true
and you agree to all NJSP Policies, Rules, & Terms of Use.

1. Follow the Requirements Prior to Appying

2. Not to use any of the files, information, and anything given to you from this clan against the use that was intended during the time you are, and are not in this clan.

3. Provide ACCURATE information on this application.

If you are succesful you will be extended an interview with a member of the human resources staff.
If the interview is succesful you will be appointed as a cadet for your requested service.

If at any point we discover you have been dishonest in your dealings with our community we will terminate your membership account.

Memberships are provided/removed at the sole discretion of the NJSP community leadership. Thus your account may be suspended or terminated for any reason deemed appropriate by the staff OR at your request.

Enter the message as it's shown*

Status

Replied By:

Notes

NJ State Troopers GTAIV Clan Membership Application

Office Use Only