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Dalton Hyde
Retired Police Officer II
Retired Police Officer II
Posts: 41
Joined: Wed Aug 05, 2020 11:03 am
Primary Assignment: Mission Row Division
#254583
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Los Santos Police Department
SUPPORT SERVICES BUREAU

Police 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: Scroggins
    1.2 First Name: Cole
    1.3 Middle Name: N/A
  • 1.4 Address: 1161 / Room #19 / Floor 3, Spanish Avenue , Hawick
    1.5 City: Los Santos
    1.6 State: San Andreas
  • 1.7 Current Occupation: Employee at Morningwood's Gas Station
    1.8 Phone Number: 54978820
    1.9 Date Of Birth: 17/MAY/1997
    1.10 Gender:
    • [X] Male
      [-] Female
      [-] Other
  • 1.11 Ethnic Group / Race (mark only one)
    • [-] Black
      [-] Hispanic
      [-] Asian/Pacific Islander
      [X] Caucasian
      [-] American Indian
      [-] Filipino
      [-] Middle Eastern

2. Criminal & Citation Record:
  • The Los Santos Police Department conducts a Criminal Background check on all ride-along applicants. Applicants are also required to inform the Los Santos Police Department 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:
    • [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 Los Santos Police Department, I the undersigned, waive any claim I may have against the Los Santos Police Department and the officers, agents and employees of the Los Santos Police 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): Cole Scroggins
    3.2 Full Name (Print Name): _Cole Scroggins_
    3.3 Date: 08/JAN/2021
User avatar
Tom Burns
Retired Police Officer III
Retired Police Officer III
Posts: 1068
Joined: Tue Apr 07, 2020 4:28 am
Primary Assignment: Traffic Division
Serial No.: 46696
#254623


VINCENT LAGORIO
CHIEF OF POLICE


VESPUCCI HEADQUARTERS
1308 SAN ANDREAS AVE.
PO BOX 325
LOS SANTOS, SAN ANDREAS
bwlspdlogo


Dear Mr. Cole Scroggins,
  • Following a review of your application by a Recruitment Officer, we are happy to inform you that your application has been ACCEPTED.

    In addition, please ensure that you have understood the guidelines and the requirements of the program. Your ride along privileges will expire on 22/JAN/2021.
Kind regards,

Tom Burns
Recruitment Officer, Support Services Bureau
Cayetana Topaz
Civilian Employee
Civilian Employee
Posts: 1065
Joined: Fri Jul 31, 2020 4:44 pm
Badge Number: 38203
Primary Assignment: Personnel Division
Serial No.: N51990
#259286


JOCELYN INGRAM
CHIEF OF POLICE


VESPUCCI HEADQUARTERS
1308 SAN ANDREAS AVE.
PO BOX 325
LOS SANTOS, SAN ANDREAS
bwlspdlogo


Dear Mr. Cole Scroggins,
  • Your ride-along privileges have now EXPIRED. You may re-apply if you still wish to remain in the ride-along program. From this day forward you are no longer permitted to go on a ride-along, unless a new request has been accepted.
Kind regards,

Kathleen Adams,
Support Staff, Support Services Bureau