Ride-Along Request Form

The UCI Police Department always welcomes community involvement and we invite interested citizens to ride with a patrol officer to observe their day and learn about the law enforcement process. It's our sincere hope that this program will improve understanding between our officers and the public. We encourage you to ask our officers many questions during your ride along For potential recruits, the Ride Along Program provides an in depth understanding of the challenges and rewards of a UCI police officer. NOTE: To participate in the Ride-Along Program, you will need to sign a department waiver and pass a check for warrants and other law enforcement records.

Name

Date of Birth

Home Address

(Street, City, State, Zip)

Phone

Driver's License #

Is this a California Driver's License?

Yes

Day(s) Preferred

Time Frame(s) Preferred

Why are you interested in doing a ride-along?

Have you ever been arrested?

Yes

Waiver

In consideration of permission granted to me by the UCI Police Department, to participate in the Ride-Along Program, I hereby release the University of California, its agents, employees, and officers from all claims, demands, actions, or damages which I, my heirs, executors, administrators, or assigns may have against the University of California, and other above described parties for all personal injuries, known and unknown, and injuries to property, real or personal, caused by, or arising out of the above described activity. I have read this release and understand all terms contained within. I execute it voluntarily and with full knowledge of this wavier's significance.

Acknowledge

Send me a copy of my responses

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