- Name: Haji Siphiwa
- Date of Birth: 26/09/2000
- Phone number: 596144
- Occupation: Freelance Worker
- Have you ever been convicted of a crime?: Yes
- Have you recently been convicted of a felony crime?: Yes
Availability:
Everyday for about 4hours
Why do you wish to go on a Ride-Along with the Los Santos Emergency Medical Services?:
I really like helping people and I see medics as people that help others a lot, Even though I have a felony I have reformed from the criminal mindset and I want the chance to help others, I think being with a medic would help and I think I would really enjoy it!
(( Your Timezone Relative to UTC )):
UTC+2
By signing this form, you agree to the following terms and conditions:
- I agree to the LSEMS conducting background checks to determine my suitability for a ride along.
- I will not bring any weapons.
- I will not interfere with the Emergency Medical Services doing their job.
- I will listen to the Medic In-Charge's instructions at all times, unless it is to assist in their work.
- I will remain in the ambulance and will not communicate with anyone while on scenes with the LSPD or the LSSD.
- I will show I possess common sense.
- The Medic In-Charge can stop the ride-along at any point at their own discretion.
- If I get injured, the LSEMS can not be held responsible, unless gross misconduct led to the injuries.
I, The Applicant; of sound mind and body, voluntarily participates in the Los Santos Emergency Medical Services Ride-Along Program. I understand that there are risk, such as physical, psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability or death, which may occur from participating. Nonetheless, I assume all related risk, whether known or unknown to me. I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, loss or damage to my person which includes liabilities and cost as a result of my participation in their program. I understand that the Los Santos Emergency Medical Services has the right to waive my right to their Ride Along Program for any reason and at any time, especially if I were to violate the Rules and Requirements they have set. With the following, I sign this application knowing that I am to adhere to the Terms and Conditions set by the Los Santos Emergency Medical Services
Signature: Haji Siphiwa
Date Signed: 20/11/2020
Date Signed: 20/11/2020
