Msp Ride Along Request Form
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1
2Minnesota State Patrol
Training and Development Section
1900 West County Road I
Shoreview, MN 55126-4914
Phone 651-757-1900 ∙ Fax 651-628-6797
MSP Ride Along Request Form
The Minnesota State Patrol Ride Along Program is offered as a part of our recruitment program. In order to process your
request, please complete the information requested below. Eligible participants are allowed one ride along per calendar
year. Requests for multiple ride alongs within a calendar year will be processed on a case-by-case basis for special
circumstances only. You will receive an email once your request is processed by our agency.
*Fields outlined in red are required.
Date of Request: _________________
Name:
________________
_________
___________
_________________
____________
Middle____
Last ___
First _________
Date of birth (you must be at least 18 years old): _____
______________________________________________
Address: _______________________
Phone number: ________________
Email address: _______________________________________________________
Name of college or university attending or graduated from _______________________________________________
City and State ________________________________________________________
Major field(s) of study __________________________________________________
Date of graduation (Est. date if applicable) ________________
Branch of military service (if applicable) : _____________________________________________
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