Ridealong Request

[Cole Walker]

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LOS SANTOS FIRE DEPARTMENT
TRAINING AND RECRUITMENT DIVISION
RIDE-ALONG REQUEST FORM

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OUT OF CHARACTER (OOC) INFORMATION

• DISCORD:
  TIME ZONE:
  
  AVERAGE AVAILABILITY:
  List your typical days and times available
  HAVE YOU PREVIOUSLY COMPLETED A RIDE-ALONG WITH LSFD? (Yes/No)
  If yes, provide details:

IN CHARACTER (IC) INFORMATION

• FULL NAME:
  DATE OF BIRTH: DD/MMM/YYYY
  PHONE NUMBER:
  
  REASON FOR REQUESTING A RIDE-ALONG:
  Answer here
  DO YOU HAVE ANY PRIOR FIRE OR EMS EXPERIENCE? (Yes/No)
  If yes, please explain:
  DO YOU HAVE ANY MEDICAL CONDITIONS OR LIMITATIONS? (Yes/No)
  If yes, please explain:
  DO YOU UNDERSTAND THIS IS A VOLUNTARY OBSERVATION ROLE AND YOU MUST FOLLOW ALL INSTRUCTIONS GIVEN BY LSFD PERSONNEL? (Yes/No)

AGREEMENT & SIGNATURE

• I understand that a ride-along is a privilege and not a right. I agree to follow all instructions given by LSFD personnel and acknowledge that failure to do so may result in termination of the ride-along and possible denial of future opportunities.
  
  SIGNATURE:
  DATE: DD/MMM/YYYY

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Los Santos Fire Department – Training & Recruitment Division