Questionnaire
Are you currently enrolled in criminal justice course work?
Where?
Are you currently employed in the criminal justice field?
Where?
Have you ever been convicted of a criminal offense other than a traffic
charge?
If so List and Explain
Please state the reason you wish to participate in the Ride-along Program:
In consideration for being allowed to ride in a Kane County Sheriff's
Department vehicle, as a participant in the Kane County Sheriff’s
Department Ride-Along Program, do hereby release, waive and forever
discharge, and for my executor, administrators and assigns do also hereby
release, waive and forever discharge the County of Kane and all of its
employees, howsoever connected, and its assigns and successors of and
from all debts, claims, demands, causes of action, suits, promises and
all liabilities of any kind or nature whatsoever, at law, in equity,
whether through personal injury, monetary or propriety injury against
the County of Kane and its employees howsoever connected that I may
receive while riding and participating in the Kane County Sheriff's
Department vehicle.
NOTICE
A criminal background check will be made as part of the approval process
of this application. On the date you are assigned to ride, you will
be required to sign the above Release and Waiver prior to riding. Participation
in this program is at the sole discretion of the Kane County Sheriff’s
Office and its agents. Your signature on this application indicates
your agreement with the terms of the Kane County Sheriff's Department
Ride-along Program.
I certify that I have read and understand all above statements and have
submitted all information truthfully to the best of my knowledge. I
agree to all terms and conditions and will sign a paper version of the
above Release and Waiver prior to riding.