Skip To Content
Login
Menu

Ride Along Application

Ride Along Application

Applicationt Information

Applicants Full Name: 

Address: 

Phone Number: 

E-Mail: 

Occupation: 

Employer/ School: 

 

Emergency Contact Information (Who to call in case of emergency)

Name: 

Address: 

Phone Number: 

Relationship: 

 

If Applicant is Under 18, Provide Parent/Guardian's information

Name: 

    Mother/Stepmother       Father/Stepfather       Legal Guardian

Address: 

Phone: 

 

Reason For Ride Along Request: 

Preferred Date and Time of Ride Along: 

 

NOTICE: Participant is required to dress appropriately.  Casual business attire is preferred.  Jeans are permissible if worn appropriately.  Ride-Along may be terminated if clothing is determined to not be appropriate by the patrol supervisor and/or the officer assigned to the Ride-Along.  Ride-Along may be denied by a supervisor for any reason or teminated at any time by the assigned officer or the patrol supervisor.

        I have read the above statement and agree to the terms

       



Security Measure