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Ride-Along Program Application

  1. Please complete and submit this application along with the “Release/Indemnity and Privacy Agreement” to:
    Hutchinson Fire Department Command and Training Center
    Attn: Division Chief Hanen
    3201 E 4th Avenue
    Hutchinson, KS 67501

    You may contact the Administration office at 620-694-2871 prior to the requested ride-along date to determine approval.

    This program is voluntary and conducted in the interest of operational assessment. The Hutchinson Fire Department reserves the right to limit or exclude any person from participation in the program when it is deemed that the person’s participation would not be in the best interest of the Department, any of its individual members, or the public; or, when it might reasonably be construed that a conflict of interest may exist between the applicant and the Department or its mission.
  2. Have you previously participated in a ride-along with the Hutchinson Fire Department?
  3. Have you ever been arrested?
  4. I affirm that the information provided in this application is true and correct to the best of my knowlege.*
  5. Leave This Blank:

  6. This field is not part of the form submission.