Fillable Ride Along Rules And Application

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Ride Along Rules And Application

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File type: PDF

U.S.A. forms for Village of Lincolnshire

BROWSE VILLAGE OF LINCOLNSHIRE (IL) FORMS

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RETURN COMPLETED
APPLICATION TO:
Lincolnshire Police Department
1 Olde Half Day Rd.
Lincolnshire, IL 60069
POLICE RIDE-ALONG APPLICATION
APPLICANT
Name (Last, First, Middle):
Date:
Address:
City:
State:
Birthdate:
Male:
Female:
Driver’s License Number:
State of Issuance:
Name of Employer:
Occupation:
Work Address:
City:
State:
Telephone #:
Email address:
Work Telephone #:
EMERGENCY INFORMATION
In an emergency, Notify (Last Name, First Name)
Relationship:
Address:
City:
State:
Telephone #:
SECURITY CLEARANCE INFORMATION
Has applicant ever been arrested? Yes No If yes, list date(s), offense(s), and jurisdiction(s).
ELIGIBILITY INFORMATION
Has applicant participated in the ride along
program in the past? Yes No
Date last participated:
Recommended by: (or self-request)
Why would you like to participate in this program? (brief summary)
Reside in Village
Work in Village
Government Official
Family Member of Department Employee
Law Enforcement Employee/Retiree
Other: (explain)
SCHEDULING INFORMATION
Applicant is available to ride:
On these days/dates:
Day Shift (6:00 AM to 6:00 PM)
Night Shift (6:00 PM to 6:00 AM)
Ride-Along Application and Rules – Village of Lincolnshire, IL – Police Department
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-913-2350
F: 847-883-9909
Page 2 of 2
WAIVER AND RELEASE
AGREEMENT ASSUMING RISK OF INJURY OR DAMAGE WAIVER AND RELEASE OF CLAIMS
• The undersigned has requested permission to accompany a member or members of the
Lincolnshire Police Department during the active performance of their official duties.
• The undersigned understands and acknowledges that such duties involve work and activities which
can be inherently dangerous and subject the undersigned to risk of loss, injury, or damage to
person or property.
• The undersigned, being given the opportunity to observe, participate, and engage in police
operations, functions, training, and other activities of the Lincolnshire Police Department, releases
the Village of Lincolnshire, its officers, and employees from any and all liability whatsoever, for any
injuries, damages, and claims that may arise out of his/her observation, participation, and
engagement in police operations, functions, training, and other activities of the Lincolnshire Police
Department.
• By signing this form, the participant further indicates that he/she has reviewed the Lincolnshire
Police Department Ride-Along Program rules and understands its contents. Further, the participant
agrees to abide by the rules as set forth in the Lincolnshire Police Department Ride-Along policy.
• The undersigned agrees to dress appropriately in casual business attire and to comply with all
lawful directives of the host officer or other employee of the Police Department.
READ THIS DOCUMENT COMPLETELY BEFORE SIGNING
SIGNATURE (Must be signed in the presence of a Police Department employee)
Signature of Applicant:
Date:
POLICE DEPARTMENT USE ONLY
Received by:
Date:
Background completed by:
Date:
Background Results:
APPROVAL
APPROVED
DENIED
Deputy Chief or Designee
Date:
NOTIFICATION
TELEPHONE
EMAIL / LETTER
Notified by:
Date:
ASSIGNMENT
Shift
Host Officer
Date:
Applicant:
Participated as scheduled Did not participate Participated on:
Return this form to the Administrative Assistant for filing.
Ride-Along Application and Rules – Village of Lincolnshire, IL – Police Department
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-913-2350
F: 847-883-9909
Police Ride-Along Program Rules
1. Applicants must read and sign the application and release in its entirety, one week prior to the
requested date of the ride-along, and in the presence of a Lincolnshire Police Department
employee.
2. The applicant must show photo identification that is issued by a state or federal government
agency to a Lincolnshire Police Department employee at the time they sign the application and
release.
3. The participant must be in good physical health and have the ability to escape danger if need
be.
4. Participants may only ride-along once per year. Exceptions to this rule will be made for: News
Media, Law Enforcement Officers from other jurisdictions, and family members of Police
Department personnel. Regardless of any exceptions, each ride-along event must be approved
and an application and release must be completed.
5. Participants shall report to the Shift Supervisor prior to the beginning of the shift for which they
have been approved to ride-along, or other prearranged time.
6. Participants will wear casual slacks or neat jeans, and a shirt with a collar. Dresses, skirts, t-
shirts, shorts, sweats, or any article of clothing displaying rude or offensive logos are expressly
prohibited. Shoes should be comfortable with a nonslip type of sole (no high heels). Tattoos
must be covered in their entirety. The shift supervisor will make the final determination as to
whether a participant’s attire is acceptable.
7. Appropriate protective clothing should be brought by the participant for applicable weather
conditions. (Participants may have to be out in inclement weather conditions for extended
periods of time).
8. Participants shall have their seat belt properly secured at all times while the vehicle they are
riding in is in motion.
9. Participants shall promptly and quickly obey all commands of all Lincolnshire Police Officers and
other law enforcement officers.
10. Participants shall not audio and/or video record when participating in the ride-along program.
Further, participants shall not bring with them any equipment that may be used to record audio
or video in any form. (This rule does not apply to news media personnel).
11. Participants must submit to a search of their person and/or any belongings brought with them
at any time during the ride-along event if any Lincolnshire Police Officer makes such a request.
12. Participants shall not have any weapons with them or in their possession. (Law enforcement
officers from other jurisdictions may carry their firearm, but the weapon must be completely
concealed).
13. Participants shall not use the radio except in cases of extreme emergency when the host officer
is not able to do so.
14. Participants shall not identify themselves as law enforcement officers, either visually or verbally
(even if they indeed are law enforcement officers).
15. Participants shall not become directly involved in any law enforcement activity unless
specifically requested to do so by the host officer or other law enforcement officer, or in cases
of extreme emergency.
Ride-Along Application and Rules – Village of Lincolnshire, IL – Police Department
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-913-2350
F: 847-883-9909
16. The host officer will determine when it is acceptable for the participant to exit the vehicle, prior
to the participant exiting the vehicle (i.e., on traffic stops or calls for service).
17. The host officer may suspend a ride-along event at any time for failure to comply with these
rules and return the participant to the Police Department.
18. Participants may observe situations of a private and confidential nature, and should not discuss
these situations outside of the Police Department.
19. Participants will respect the privacy of victims and witnesses, and shall under no circumstances
engage in any conversation with any suspect or prisoner.
20. Any participant, who is injured, no matter how slight, shall immediately notify their host officer
of such injury.
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Ride Along Rules And Application

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Completed 13 July 2020

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