Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Ride-Along Request Form

  1. Aptos - La Selva Fire District

  2. Due to the inherent dangers associated with emergency responses, the requirements to protect the privacy of patients, and the busy schedules of the engine crews, ride-along candidates shall be a minimum of 18 years old, and be limited to and provide proof of:

  3. 1. Currently enrolled Cabrillo College EMT students completing DOT curriculum clinical requirements.

  4. 2. Currently enrolled Fire Technology students.

  5. 3. Potential new employees completing pre-employment District orientation.

  6. 4. Special condition approved by the Fire Chief.

  7. RIDE-ALONG CANDIDATE INFORMATION

  8. EMT or FT Program Instructor Contact Information:

  9. Leave This Blank:

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