Request for Ride Along
Oshkosh Fire Department
Today's Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
I am 18 years or older
*
Yes
No
I do not have a prior criminal history or pending criminal action
*
Yes
No
Program Information & Agreement
I have read the Ride Along Policy 328 and agree to the program requirements:
*
Yes
No
First Preference Date to ride:
*
-
Month
-
Day
Year
Date
Second Preference Date to ride:
-
Month
-
Day
Year
Date
Third Preference Date to ride:
-
Month
-
Day
Year
Date
Are you or have you been employed in a position with an agency/entity having responsibility for protecting the health, safety and welfare of the community OR are you a current emergency medical/fire student?
Yes
No
Please describe:
Why are you interested in going on a ride along?
*
Please upload the signed Agreement for Observation document
Browse Files
Drag and drop files here
Choose a file
Cancel
of
You will be notified within 7 working days if your application has been approved.
Submit
Should be Empty: