LOS ANGELES COUNTY SHERIFF’S DEPARTMENT
PALMDALE STATION
RIDE-A-LONG APPLICATION

Pick a Day/Time that is convenient to you. Please allow two weeks from application date for your first choice. Shift times are indicated below. You will be notified by phone or email if you are accepted for a Ride-A-Long, along with the date/time of your ride.

Day Shift start times are at 6:00 AM and 8:00 AM 
PM Shift start times are at 2:00 PM and 4:00 PM
Rides are available every day of the week.

Full Legal Name (Last, First Middle)

Home Address       

City     Zip Code

Drivers License Number and State

Date of Birth      Social Security Number

E-Mail Address

Place of Employment

Home Telephone     Work Telephone

Hair     Eyes     Sex: Male     Female

Height      Weight

 

Select the days and  times below that you will be available to ride.

            Days of Week                Times
                       
To select multiple days or times, hold the CONTROL key down while making selections.

How did you learn about this program?


What is your reason for taking this Ride-A-Long? 

If you have previously had a Ride-A-Long, what was the date:

HAVE YOU EVER BEEN ARRESTED OR HAD PROBLEMS WITH THE LAW WHICH WOULD EMBARRASS THE LOS ANGELES COUNTY SHERIFF'S DEPARTMENT?   YES ,  NO

IF YES, PLEASE EXPLAIN:

ANY FALSE STATEMENTS, EITHER VERBAL OR WRITTEN, MAY CAUSE THE APPLICANT TO BE REMOVED FROM THE ELIGIBLE LIST.

The required dress code for the Ride-A-Long is as follows:

    Males: Collared shirt and slacks. (NO BLUE JEANS OR SHORTS)

    Females: Dress, skirt and blouse or slacks and blouse.
       (DRESSES AND SKIRTS SHALL BE OF SUITABLE LENGTH WHEN SEATED.)

By checking the below box, I authorize the Los Angeles County Sheriff's Department to initiate a Record Check prior to my acceptance on a Ride-A-Long. I accept the clothing standards set by the Sheriff's Department and I will wear the appropriate attire for the Ride-A-Long. I will also sign the Waiver and Release of Claims and Indemnity Agreement Form (Release of Liability) on the date of my Ride-A-Long.

               I accept the terms of this application.  

 AFTER YOUR APPLICATION IS SUBMITTED, YOU MUST CALL THE PALMDALE STATION'S CRIME PREVENTION OFFICE AT 272-2415  MONDAY THROUGH FRIDAY, BETWEEN THE HOURS OF 8:00 AM AND 4:00 PM, TO CHECK THE STATUS OF YOUR RIDE-A-LONG AND ARRANGE AN APPOINTMENT.

If you have any questions, please call Deputy Dave Jennings at the 

Palmdale Station (661) 272-2415, or send him an EMAIL by clicking HERE.

 

 This page Was Last Updated
08/30/2006