Personal information
Name: First Last
Phone number: 487-7066
Occupation: Truck Driver
Have you ever been convicted of a crime?: No
Have you recently been convicted of a felony crime?: No
Name: First Last
Phone number: 487-7066
Occupation: Truck Driver
Have you ever been convicted of a crime?: No
Have you recently been convicted of a felony crime?: No
Request details
When are you available?:
Answer
I'm available most days of the week around 4pm CT/ 9pm UTC, sometimes earlier.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Department?:
Answer
I'm looking to gain experience so that I may apply to become EMT.
((Timezone relative to UTC)): UTC-5
When are you available?:
Answer
I'm available most days of the week around 4pm CT/ 9pm UTC, sometimes earlier.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Department?:
Answer
I'm looking to gain experience so that I may apply to become EMT.
((Timezone relative to UTC)): UTC-5
By signing this form, you agree to the following terms and conditions:
- I will not interfere with the EMT doing their job.
- I agree to the LSEMS conducting background checks to determine my suitability for a ride along
- I will listen to the EMT's instructions at all times, unless it is to assist in their work.
- The EMT can stop the ride-along at any point at their own discretion.
- I will not bring any weapons.
- If I get injured, the LSEMS can not be held responsible, unless gross misconduct led to the injuries.
- While on scenes with police involved I will remain in the ambulance and will not communicate with anyone.
- I will show I possess common sense.
Signature: Jam Turner
Date Signed: 05/04/2019
Date Signed: 05/04/2019
