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: Jacob Rivera
2. Home Address: Montgomery Block 13.
3. Telephone Number(s): 632-4994
4. Date of Birth: 27/OCT/1999
2. Home Address: Montgomery Block 13.
3. Telephone Number(s): 632-4994
4. Date of Birth: 27/OCT/1999
SECTION II — REQUEST INFORMATION
5. Availability: Evenings.
6. Reason for Ride-Along Request
6. Reason for Ride-Along Request
- I would love to explore how San Andreas State Police operates situations, and why not learn from it, while waiting for the next Police Academy recruitment batch.
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: Jacob Rivera
Date of Signature: 13/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: Jacob Rivera
Date of Signature: 13/JAN/2024
