Please enable JavaScript in your browser to complete this form.Basic InformationName *FirstLastDate of Birth *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Driver's License Number *Why do you want to participate in this program? *Have you participated in our "SIT-A-LONG program" in the past? *YesNoPast Sit A Long Participation DateHave you ever been arrested? *YesNoIf "Yes" explain:PLEASE GIVE TWO WEEKS ADVANCE NOTICE FOR PROCESSING Dispatch Shift: Days:1500-1900 Date Preference *Medical History High Blood Pressure *YesNoHeart Condition *YesNoNervous or Mental Condition *YesNoSerious Mental Condition *YesNoGuidelines and Requirements Every participant must be 18 years of age or older at the time of the application is submitted. Exceptions are made with the Directors consent and parent/guardian. The Individuals will be directed to the sit-along coordinator who will provide the required forms and waiver that will need to be completed and returned to them. Including parent/guardian if applicant is under 18. Once forms and waiver are completed and submitted to the sit along coordinator a background check will be conducted on the interested person to confirm there are no safety concerns, involvement in a current investigation, involvement in a current civil action against the County of San Joaquin, and ensure their background is suitable for a law enforcement environment. The sit-along coordinator will inform the citizen that his/her request has either been confirmed or denied. If approved, the sit-along coordinator will negotiate a date and time for the sit-along. Appropriate casual business attire is required with closed-toe shoes. Friends and family of an employee may sit along with the approval of the Communications Director. Produce photo identification on the day of the sit-along. All applicants must meet one or more of the criteria below (check all that apply) *Resident of San Joaquin countyVisiting law enforcement personnel from other agencyStudent of San Joaquin County High School and in possession of valid student body cardSan Joaquin county employee and immediate familyAny valid news media representativeCurrent criminal justice program student (list academic institution)Other (please specify)Current criminal justice program academic institutionOther (please specify)Acknowledgements All applicants must be able to promptly follow the verbal instructions of the Host Dispatcher. Information heard and seen is confidential, and not for dissemination, or used for personal gain. Information, from CLETS is confidential, and cannot be used for dissemination, or personal gain. Photographs are not permitted and limited cell phone usage is required. The sit-along can be terminated at any time without warning. Waiver and Release of Claims and Indemnity AgreementWHEREAS, I have made the voluntary request to participate in the sit along program, and be a guest of the dispatch center, and sit with a member of the Communications Department during the performance of their official duties. I am aware the dispatch center is the public safety answering point for all police and fire emergency and nonemergency calls within the County of San Joaquin. Therefore, I could be present during various types of critical incidents without warning. I voluntarily accept all responsibility, and do not legally hold the San Joaquin County Sheriff's Office, his sureties, all members of the San Joaquin County Sheriffs Office, employees of the County, its agents and representatives responsible in the event I sustain a physical injury, or suffer a medical condition while participating in the sit along program. Therefore, I voluntarily and knowingly assume these risks, and by my consent agree that no legal action will be brought against said County, Departments, Sheriffs Office, Members, Sureties or County Employees, agents or representatives. Please Initial *I hereby verify that I have carefully read and understand the contents of this document and sign the same of my own free will. Applicant Signature * Clear Signature Emergency Contact *Emergency Contact Phone *Signature of authorized parent or guardian, confirming and agreeing to the above, if the applicant is a minor Clear Signature Print NameSubmit