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Get WI Beloit Police Ride-Along Application 2016

LICANT INFORMATION Last Name: First Name: Address: MI: City: Home Phone: Zip Code: Work Phone: Cell Phone: Sex: Race: E-Mail Address: Date of Birth: Briefly Explain Your Interest in the Ride-Along Program Day Preferred: Shift Preferred: 6AM 3PM 2PM 11PM 10PM 7AM SECTION 2: WAIVER OF LIABILITY In consideration of being permitted to ride in a vehicle owned and operated by the City of Beloit, or to accompany employees of the Beloit Police Department on any call, I unde.

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