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Communications Job Shadow Request Form

Citizen Guidelines for Job Shadow

  1. The minimum age of a job shadow participant shall be eighteen (18) years of age.
  2. Anyone under 18 years of age will need prior approval from the Support Operations Manager.
  3. For a participant to be approved for a job shadow they must not have a felony or multiple misdemeanor arrests/convictions unless approved by the Chief of Police or designee. Traffic citations for infractions are excluded in the approval.
  4. Participant must not participate in a job shadow more often than once in a three (3) month period, unless approved by the Support Operations Manager.
  5. Any recording device, such as a camera, smart phones etc., will not be permitted during a job shadow.
  6. Only one person at a time will be allowed to job shadow unless approved by the Public Safety Dispatch Supervisor or Support Operations Manager.
  7. All participants shall dress in casual wear during the job shadow. The attire should be professional and not include slogans or designs that have profanity, gang affiliation, drug association, etc.
  8. Other than the headset provided for the job shadow the participant shall not use or operate any equipment owned by the department.
  9. Participants will hear residents call into the center for assistance, but you shall not talk or converse with the caller.
  10. Participants shall not interfere with the Public Safety Dispatcher while he/she is handling an emergency or non-emergency phone call.
  11. The Public Safety Dispatcher has discretion to terminate a job shadow in the event a participant fails to follow reasonable directions or interferes with the Public Safety Dispatcher regular duties.
  12. Participants may terminate the job shadow at any time. If termination is requested, the participant will be escorted out of the Police Department building as soon as possible.
  13. The participant shall not leave the Communications Center without the permission of the Public Safety Dispatcher and must be escorted throughout the building.
  14. The Participant shall not carry any firearm or other concealed weapon.

Communications Job Shadow Request Form

Communications Job Shadow Request Form
Name
Name
First Name
Middle Name
Last Name
Sex:
Address
Address
Have you previously done a job shadow with Tracy PD?

Name of person to notify in case of an emergency

Name
Name
First Name
Middle Name
Last Name
Address
Address
(Hours may be limited at the discretion of the Supervisor)
Job shadows are normally limited to once in a three(3) month period
Reason fo Job Shadow:
In order to participate in this program, you will be required to sign (if a minor, your parent must sign) a waiver form.

Communications Job Shadow Program Declaration of Assumption of Risk and Release of Liability

The undersigned named above has made a voluntary request for permission to perform a job shadow with the Communications Center as a guest or observer.

The undersigned acknowledges the work and activities of the Tracy Police Department are inherently dangerous and involve possible risks of injury, death and damage or loss to person and property. The undersigned also acknowledges they may hear telephone calls of people in distress or in crisis and understand this may personally affect them. At anytime they may remove their headset if they do not want further to hear the conversation. They also maybe instructed by the Public Safety Dispatcher to remove their headset if the Public Safety Dispatcher feels they should no longer hear the conversation.

In consideration of my participation in the “job shadow” program that is the subject of this agreement, the undersigned, and his/her parent/guardian, if under the age of 18 years, hereby releases the City of Tracy, its officers, Public Safety Dispatchers, agents, employees, and volunteers from any and all liability arising out of said participation. The undersigned hereby voluntarily releases, discharges, waives, and relinquishes any and all actions or causes of action for personal injury, wrongful death, or damage to property of person occurring to him/herself arising as a result of participation in said activity.

The undersigned acknowledges that they may see or hear confidential information. They further understand they shall not share confidential information with family, friends, or anyone else outside of the Police Department.

If the undersigned is employed by the City of Tracy, the employee acknowledges this “job shadow” program is outside the normal scope of employment duties.

It is the intention of the undersigned by this instrument to exempt and relieve the abovenamed parties from liability for personal injury or death, damage, and expense of loss to person or property caused by negligence.

The undersigned acknowledges that he/she has read the foregoing paragraphs, is fully and completely aware of the potential dangers incidental to participating in the program and is aware of the legal consequences of signing this release of liability.

I certify that I have not had any felony arrests and/or convictions.

If under 18 years of age, parent or legal guardian must also sign.