By submitting this application for the Ride Along Program at the Mechanicsville Volunteer Rescue Squad, Inc. (MVRS), I authorize investigation of all statements contained therein. I hereby authorize MVRS to make any contacts considered necessary for me to participate in the ride along program. Such as current employers, criminal records, public case searches etc. It is understood and agreed that any misrepresentation by me in this application, will be sufficient cause for cancellation of the application. I understand that this application is the property of Mechanicsville Volunteer Rescue Squad, Inc. and will become part of my personnel file if I turn in an application for Active Membership.

POLICY STATEMENT: MVRS is an equal opportunity organization and shall not discriminate against any member or applicant due to age, sex, marital status, national origin, religion, race, physical or mental handicap unrelated to the performance of the job or any other prohibited reasons. The Ride Along Coordinator will review this application and additional information found before scheduling a duty shift. Applicants may be disqualified for criminal conduct.