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2. ST. JOSEPH POLICE DEPARTMENT RIDE-ALONG APPLICATION
4. First Name
5. Middle Name
6. Last Name
8. Maiden
9. D.O.B.
   D.O.B.
10. SSN
12. Address1
14. Address2
16. City
17. State
18. Zip
20. Home Phone
21. Cell Phone
23. Employment
24. Emp. Ph.
26. Email
28. Have you ever been convicted of a crime other than a minor traffic violation?

    1. Yes (explain below)
    2. No
30. What were you convicted of?
32. Criminal History Check
    I, the undersigned, understand that by applying for the Ride-Along Program, a criminal history check may be completed. I, hereby, give permission for this check to be completed. The information from this check cannot be used for any purpose other than the Citizens Ride-Along/Practicum/Intern Program.
34. Name
35. Date
    Date
37. Requested rid along dates.
39. Release and Waiver

    In consideration of the St. Joseph Police Department granting me permission to enter its police vehicles and ride in the same while said vehicles are on patrol and/or emergency calls ("ride-along"), I, (the undersigned) hereby, expressly agree to release and waive all claims for damage, loss, and/or injury to my person and/or property which may be caused by any negligent or reckless act, or failure to act, of the St. Joseph Police Department, its officers, agents and/or employees.

    I further expressly agree to assume all risks associated with my decision to participate in the ride-along program and waive any and all specific notice of the existence of any dangerous conditions that may exist, or that may be associated with the ride-along program.

    I acknowledge that I have read this Release and Waiver in its entirety and that I understand and agree to the terms and conditions of the same.  I also acknowledge that I have freely and voluntarily executed this Release and Waiver and that I understand that said Release and Waiver is, and shall be, binding upon me, my successors, heirs, assigns, and personal representatives.

41. Name
42. Date
44. Ride-Along Regulations

    The St. Joseph Police Department has instituted a program involving citizens age eighteen and older to participate in Ride-Along Program. The following guidelines are for the benefit of participating citizens and police department personnel. These guidelines are to be strictly adhered to by those individuals who participate.

    1. Before beginning their course period of time with the Police Department all riders will review all guidelines with an assigned commissioned officer within the department.

    2. Riders will not carry weapons of any kind regardless of the right to carry permits.       Commissioned officers must be in their jurisdiction to carry a firearm.

    3. Riders will not represent themselves as employees of the St. Joseph Police Department

    and will not communicate with any victims, suspects or witnesses.

    4. All riders will dress appropriately. Apparel deemed inappropriate includes cut-off jeans, tank tops, T-shirts, etc. Business casual attire is required.

    5. All participants will notify the ride-along supervisor as to the dates and times they wish to ride. This information will be forwarded to the appropriate division office for tentative assignments and ride-along activities.

    6. Ride-Along policies: It will be at the police officer's discretion (to which the rider is assigned) as to whether or not the student can leave the vehicle during response to various calls for service. Obviously, calls involving weapons, violence, suicides, etc. will restrict his/hers participation.

    7. Before beginning their Ride-Along activities the rider will carefully review and sign a waiver of liability concerning their participation with the St. Joseph Police Department.

    8. Ride-Along participation can be terminated for non-compliance with policies, guidelines, improper behavior, improper dress, failure to take direction from departmental personnel, or any actions by the participant in violation of departmental standards.

    9. Riders will not disclose or discuss any information concerning police activities they gained while doing the ride-along with the general public or family members.

    10. Ride-alongs must not enter onto private property without the permission of the owner of the property, tenant, etc. 

    11. Upon approval for the ride-along programs you will be issued a Citizen Observer I.D. This will be worn at all times you are in the L.E.C. or in police vehicles. Upon completion of the ride-along or internship you are responsible for returning the I.D. 

    12. Ride-alongs are limited to three ride-alongs per calendar year-one time per shift. 

    13. Upon completion of your ride-alongs, you will receive an evaluation. You are required to complete it and return it to the Support Services Division. 

    Have your cell phones with you. If a serious call is dispatched you might not be allowed to go and will need to call someone to come get you.

    You may or may not get a meal break but have money with you in case.

    ***You are not allowed to take pictures or otherwise record any police activities***

46. Name
47. Date
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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