REQUESTEE DETAILS
Full Name Mark Herrera
Date of Birth: 20/MAR/1997
Phone Number: 290-9410
Have you ever been convicted of a crime?: Yes, years ago, came clean and worked for DOC and DCC.
Date of Birth: 20/MAR/1997
Phone Number: 290-9410
Have you ever been convicted of a crime?: Yes, years ago, came clean and worked for DOC and DCC.
REQUEST DETAILS
Availability
Every afternoon. I'm available most of the time, I can adapt to your times.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
I'm in doubt about applying to the EMS and I believe a ride-along would be a nice first step. I want to see what the day to day of an EMT is like. Hope I can learn a lot and finally decide if I would be a good fit.
Every afternoon. I'm available most of the time, I can adapt to your times.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
I'm in doubt about applying to the EMS and I believe a ride-along would be a nice first step. I want to see what the day to day of an EMT is like. Hope I can learn a lot and finally decide if I would be a good fit.
RELEASE & WAIVER
I, The Applicant; of sound mind and body, voluntarily participate in the Los Santos Emergency Medical Services Ride-Along Program. I understand that there are risks, such as physical, or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, or death, which may occur from participating. Nonetheless, I assume all related risks, whether known or unknown to me.
I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, losses, or damage to my person which includes liabilities and costs 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 Regulations 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.
I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, losses, or damage to my person which includes liabilities and costs 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 Regulations 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: Mark Herrera
Date Signed: 10/JUL/2024
Date Signed: 10/JUL/2024


