LOS SANTOS
-
Anthony Owen
- Police Officer III
- Posts: 171
- Joined: Sun Sep 03, 2023 3:14 pm
- Badge Number: 134651
- Primary Assignment: Mission Row Division
- Serial No.: 134651
By Anthony Owen -
- Mon Oct 09, 2023 2:21 pm
#470876
Los Santos Police Department
ADMINISTRATIVE 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:
3. Release & Waiver:
Los Santos Police Department
ADMINISTRATIVE 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: Owen
1.2 First Name: Anthony
1.3 Middle Name: Martinez
- 1.4 Address: Pink Cage Motel, Room 5, Hawick Avenue, Alta
1.5 City: Los Santos
1.6 State: San Andreas
- 1.7 Current Occupation: Mechanic
1.8 Phone Number: 76251587
1.9 Date Of Birth:27/02/2002
1.10 Gender:- Male
Female
Other
- Male
- 1.11 Ethnic Group / Race (mark only one)
- Black
Hispanic
Asian/Pacific Islander
Caucasian
American Indian
Filipino
Middle Eastern
- Black
- 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:- 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): Anthony Martinez Owen
3.2 Full Name (Print Name): _Anthony Martinez Owen_
3.3 Date: 09/OCT/2023
Last edited by Anthony Owen on Mon Oct 09, 2023 2:30 pm, edited 1 time in total.
Police Officer III Anthony Owen
Watch 1
"Protect the Castle!"
