2. 

3. Sheriff's Office

   Law Enforcement Center
   15015 62nd Street North
   Stillwater, MN 55082
   Phone: 651-430-7601
   Email: sheriff@co.washington.co.mn.us

5. Ride Along Applicant Information

7. Requirements:

   • Must be at least 18 years old.
   • Must pass a criminal history check.
   • Must agree to sign a liability waiver.
9. First Name*
10. Middle Name*
11. Last Name*
12. Date of Birth*
    Date of Birth
14. Resident Address*
16. City*
17. State*
18. Zip*
20. Is your mailing address different than your resident address?*

    1. Yes
    2. No
22. Mailing Address*
24. Email Address*
25. Phone Number*
27. Name of College/University or Tech School
28. Currently Enrolled?
    -- Select One --YesNo

    *Must be currently enrolled to participate in a ride along

29. Anticipated Graduation Date
31. Dates Available for Ride Along
32. Preferred Shift

    1. Day Shift
    2. Afternoon Shift
    3. Overnight Shift

    Select all that apply

34. Is there anything else you would like us to know about you?

36. You will receive a response via email. Please monitor your spam folder for any correspondence.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field