Sit Along with Red Deer 9-1-1 Application Form

Application for Red Deer Emergency Services 9-1-1 Emergency Communications Centre Sit Along

Applicant Information

* First Name

* Last Name

* Email Address

* Phone Number

* Do you have any health concerns RDES needs to be aware of?

Yes

Emergency Contact Information

* First Name

* Last Name

* Phone Number

* Relationship to you

File Upload

Please upload the following documents using the file upload control below:

A full page letter describing why you want to participate in a 9-1-1 sit along.
A Criminal Record Check obtained within the last 6 months.

* Upload Document(s) (Max 2 files): (word, pdf, jpg)

Agreement of Participation

* I am at least eighteen years of age, agree to fully comply with all City of Red Deer Emergency Services Department policy and procedures and any and all lawful verbal directions provided to me by employees of The City of Red Deer Emergency Services Department during my sit along. I will forever maintain full confidentiality of any information or knowledge I may obtain about persons or the events that I may witness unless authorized in writing by representatives from The City of Red Deer to disclose such information or as required, doing so under legislation.

Submit Application

The City of Red Deer

Sit Along with Red Deer 9-1-1 Application Form

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