[EXAMPLE][Field Ridealong Request] Musha Mero

Ridealongs is an area for civilians to apply to be a Police Observer in which they are able to observe a Police Officer at work, first hand, in the field.

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Devin Jax Cohen
Assistant Chief of Police
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Assignment: Director of Patrol Operation

[EXAMPLE][Field Ridealong Request] Musha Mero

Post by Devin Jax Cohen »


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Los Santos Police Department
Office of Support Services

LSPD Ride Along Application Form

To assist us in reviewing your application, we request that you complete this questionnaire. The information that you provide will be used only for evaluation and suitability checks. Please read each question carefully and mark one response to each question that applies.
1. Personal Information:
  • 1.1 Last Name: Musha
    1.2 First Name: Mero
    1.3 Middle Name: -
  • 1.4 Address: Alta Street
    1.5 City: Los Santos
    1.6 State: San Andreas
  • 1.7 Current Occupation: Mechanic at Harmony's
    1.8 Phone Number: 789-456-1234
    1.9 Date Of Birth: 01/01/1994
    1.10 Gender: (cross only one)
    • [-] Male
      [X] Female
      [-] Other
  • 1.11 Ethnic Group / Race (cross only one)
    • [-] Black
      [-] Hispanic
      [-] Asian/Pacific Islander
      [X] Caucasian
      [-] American Indian
      [-] Filipino
      [-] Middle Eastern

2. Criminal & Citation Record:
  • The San Andreas State Police conducts a Criminal Background check on all ride-along applicants. Applicants are also required to inform the San Andreas State Police of any type of Criminal Background or interactions they may have had with the Department. Failure to do so will lead to an immediate denial of the application and possible restrictions on further applications.

    2.1 Please mark one of the following that best applies on the basis of severity: (cross only one)
    • [X] I have a clean Criminal Record.
    • [-] I have received Traffic/Infraction citations from San Andreas Law Enforcement that I have paid or had upheld in Court.
    • [-] I have been arrested by San Andreas Law Enforcement on Misdemeanour charges which I have pled Guilty/No Contest to or have had upheld in Court.
    • [-] I have been arrested by San Andreas Law Enforcement on Felony charges which I have pled Guilty/No Contest to or have had upheld in Court.

3. Release & Waiver:
  • As a condition precedent to being permitted to ride as a Ride-Along Observer in a vehicle or vehicles operated by any officer or person employed by the San Andreas State Police, I the undersigned, waive any claim I may have against the San Andreas State Police and the officers, agents and employees of the Los Santos Police Department and Los Santos Sheriff Department for any loss of life, bodily injury, property damage or any other claim whatsoever that I may sustain as a result of riding as such Ride-Along Observer. I also promise I have read, and I understand all of the Ride-Along regulations. I further agree that this waiver of liability by me is binding on my legal representatives, heirs, and successors, and shall have the same legal effect as I have agreed to herein.

    3.1 Full Name (Signature): Musha Mero
    3.2 Full Name (Print Name): _Musha Mero_
    3.3 Date: 13/06/2023
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Image #7004 Devin J. Cohen - Assistant Chief of Police
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Los Santos Police Department
Staff Officer - Director of Patrol Operation
Internal Affairs Group - Director for Los Santos Police Department
High Speed Interceptor Unit - Director "HENRY-01"
Office Of Special Operations - CTSOB: Air Support Division - First Officer "AIR-04"
‣ Former Command Officer - Captain of Davis Station
Graduated - Law Enforcement Academy #1
 
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Los Santos Police Department - "To Protect and to Serve"
 
“For whosoever exalteth themselves shall be abased.”

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