North Pinellas Explorer Post 969
Ride-along Assignment Form

Explorer Name: Bracy     Date of Ride-Along: 12/12/2016  
Start Time: 1200 End Time:  2000
Unit Assigned: T67 Advisor:  J Parks  
Comments:  
Department Status:   By:    
Post Status: Pending By:      
 

Advisor Section

 

 
Appearance: ____________________     Attitude: ____________________  Preparedness: ____________________
Report on Time: Y / N Completed Assigned Tasks: Y / N  
Advisor Comments: _________________________________________________________________________________________________________

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EQUIPMENT CHECK

 

 

 

 

 

YES

NO

UNIFORM SHIRT

 

 

 

TROUSERS

 

 

 

SHOES

 

 

 

 

BELT

 

 

 

 

HELMET

 

 

 

 

COAT

 

 

 

 

PANTS

 

 

 

 

BOOTS

 

 

 

 

GLOVES

 

 

 

 

 

Advisor Signature:________________________________________         Date: _________________

 

Fire Explorer Section

 

 
Explorer Comments about Ride-Along: _____________________________________________________________________________________

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Explorer Signature:________________________________________     Date: _________________

   

Key: 489