SAN ANDREAS STATE POLICE
ADMINISTRATIVE SERVICES BUREAU
PUBLIC AFFAIRS DIVISION
RIDEALONG PROGRAM APPLICATION
ADMINISTRATIVE SERVICES BUREAU
PUBLIC AFFAIRS DIVISION
RIDEALONG PROGRAM APPLICATION
SECTION I — PERSONAL INFORMATION
1. Requestee Name: Yaeko Nakamura
2. Home Address: 3 Township - Bone County
3. Telephone Number(s): 600-0000
4. Date of Birth: 06/04/1987
2. Home Address: 3 Township - Bone County
3. Telephone Number(s): 600-0000
4. Date of Birth: 06/04/1987
SECTION II — REQUEST INFORMATION
5. Availability: (( Usually between 19:00 and 23:00 (EET / GMT+2) ))
6. Reason for Ride-Along Request
6. Reason for Ride-Along Request
- I had always been a compassionate and caring individual, naturally driven by a burning desire to help others. As an EMT, I have witnessed and provided medical aid to those in dire need in countless emergencies of all imaginable kinds, however, after years on the job, I found myself yearning for a new challenge. To gain a deeper understanding of what it would realistically be like to serve as part of the San Andreas State Police, I have realized the numerous ways riding alongside a state trooper would benefit me: witnessing the challenges and dangers they typically face on a daily basis firsthand, keenly observing the interactions between law enforcement officers and members of the public, a deeper understanding regarding the complexity of maintaining law and order and, last but not least, providing invaluable insight into the legal procedures involved in the dynamic process of law enforcement, thus complementing my medical knowledge with a comprehensive understanding of the criminal justice system. I reasonably hope that my ridealong application will be considered, fulfilling my dream of getting to experience how's it like being a State Trooper through a different, "actually deep in there" lens. Many sincere thanks in advance!
SECTION III — LIABILITY WAIVER
7. Background Waiver
I hereby authorize the San Andreas State Police, its troopers, employees, or representatives otherwise, to conduct an intensive background inquiry regarding my character, reputation, and criminal history. I certify that the above submitted information is factual.
I certify that I am physically fit to be taken on a ride-along, and have not been advised otherwise by a qualified medical San Andreas Fire & Rescue Employee
For and in consideration of the undersigned being given the opportunity of observing police operations and functions, by riding in a vehicle operated by a member of the San Andreas State Police, I hereby release and agree to hold harmless the County of Red County, the San Andreas State Police, their employees and agents, both personally, and as agents and employees, from any and all liability for any damage and injury, which I may receive while riding in or upon said motor vehicles and which I may receive while accompanying a San Andreas State Police member, regardless of the cause of such damage or injury, whether through negligence or otherwise.
This release of liability and agreement by me to the County of Red County, the San Andreas State Police, their employees and agents, shall apply to any right of action that might accrue to myself, my heirs and my personal representative. Further, I agree to assume all risks in riding in San Andreas State Police motor vehicles and in accompanying its officers and agents and I am fully aware that personal danger may be involved.
I hereby authorize the San Andreas State Police, its troopers, employees, or representatives otherwise, to conduct an intensive background inquiry regarding my character, reputation, and criminal history. I certify that the above submitted information is factual.
- Signature: Y. Nakamura
Date of Signature: 12/JAN/2024
I certify that I am physically fit to be taken on a ride-along, and have not been advised otherwise by a qualified medical San Andreas Fire & Rescue Employee
For and in consideration of the undersigned being given the opportunity of observing police operations and functions, by riding in a vehicle operated by a member of the San Andreas State Police, I hereby release and agree to hold harmless the County of Red County, the San Andreas State Police, their employees and agents, both personally, and as agents and employees, from any and all liability for any damage and injury, which I may receive while riding in or upon said motor vehicles and which I may receive while accompanying a San Andreas State Police member, regardless of the cause of such damage or injury, whether through negligence or otherwise.
This release of liability and agreement by me to the County of Red County, the San Andreas State Police, their employees and agents, shall apply to any right of action that might accrue to myself, my heirs and my personal representative. Further, I agree to assume all risks in riding in San Andreas State Police motor vehicles and in accompanying its officers and agents and I am fully aware that personal danger may be involved.
- Signature: Y. Nakamura
Date of Signature: 12/JAN/2024