The Royal Canadian Mounted Police
Gendarmerie Royale du Canada
National
YouthEngagementWeek
at DEPOT
APPLICATION FORM
DepotYouthEngagement week
WelcomeStudents!
MynameisS/S/M Gilles CôtéoftheRCMPCeremonies, Protocol and Professional Standards UnitSectionforJ Division New Brunswick.Iamverypleasedtoannouncea brand new National initiative where weareinvitingstudentsfromgrade11and12toapplyfortheRCMPYouthEngagement WeekheldattheRCMPPoliceTrainingAcademy(DEPOT)inReginaSaskatchewanfromOctober 18th to 20th,2016 inclusively.TravellingtoReginaonOctober 17th,2016andreturningonOctober 21st, 2016.
Up to thirtytwo(32)studentswillbeattendingtheRCMP’s YouthEngagement Weekfrom across Canada.Thisisagreatopportunityforthosestudentswhohavebeencuriousaboutpolicingandwanttoseeandexperienceaweek(3days)ofwhattraininglookslike, as well as getting an overview of the RCMP.
Itisdesirabletohaveadriver’slicense.Ifchosenacriminalrecordcheckwillbeperformed.Student’sacceptancewilldependuponthembeinggrantedasecurityclearance.
Inthisapplicationpackagethereisinformationregardingthisprogramandthereareseveralformsthatmustbecompletedpriortoyoubeingabletoparticipate.Pleasereadeachpageovercarefullywithyourparentorguardianandsigneachformasindicated.Returnthesignedformstoyourguidancecounselor.
TravelandTransportation:
YouwillbereceivingyourtravelinformationfromtheRCMP………….Section. SomestudentsmaybetravelingonaRCMPplanebutmostwillbetravelingvia commercial flight. PleasekeepinmindthatifyouaretravelingbyRCMPplane,thereisnowashroomonboardandnoin-flightservice,soyoumaywishtobringasnack.
WhileattheRCMPTrainingAcademy,alllocationscanbeaccessedbyashortwalk.Dependentonweatherconditions,theremaybesometransportationviaRCMPvans.
Accommodations:
AllstudentswillbestayingattheRCMPTrainingAcademy’sCentralizedTrainingBuilding.Eachstudentwillhavetheirownroomwithaprivatebathroom.Allbedding,pillowsandtowelswillbeprovided.
Meals:
MealswillbeprovidedatnocosttothestudentsattheDivisionMess.Thereisanassortmentofhotmeals,sandwiches,cereals,salads,fruitsanddessertsforeachmeal. Please advise of any dietary restrictions and/or allergies
TheCourse:
Ihaveattachedacoursesyllabusfortheweek.Depending oninstructor(s)availabilitythetimes/subjectsmaychange.
Clothing:
WhileattheRCMPTrainingAcademy.
-Foramale,acollaredshirtorgolfshirt,dresspantsorcasualpants(e.g.Dockersorsimilar style) NO JEANS
-Forafemale,asuit,dress,skirtordresspants/casualpants(e.g.Dockersorsimilarstyle)andablouse,turtleneckorsweater.
-TheDivisionMess(Cafeteria)hasaDressCodethatyouwillneedtoabideby
NOTE:Jeans,cargopants,trackpants,sweatshirts,shortsandsandalsarenotconsideredtobeappropriateclothingintheDivisionMess.
Whattobring:YOUWILLBELIMITEDTOFORTYPOUNDSOFLUGGAGE!
Pleasemakesureyoubringthefollowingitemswithyou:
-FitnessClothes(gympants,t-shirts,socks)youwillbeattendingfitnessclassesanddefensivetacticsclasses.
-Indoorrunningshoes
-Outdoorrunningshoes
-Comfortableclothestowearwhileyourotherclothesarebeinglaundered.
-Youwillalsoberequiredtobringpersonalhygieneproducts,ex:shampoo,soap,toothbrush,toothpasteastheyarenotprovidedbytheRCMPTrainingAcademy.
IhavealsoattachedacopyoftheRulesandRegulationsoftheDepotYouthEngagement Week.Theseruleswillbeverystrictandifnotfollowedyoumaybesenthome IMMEDIATELY.
Mostimportantlywehopethatthisweekwillbeanexcitingandenjoyabletimeforyou.ThisisachanceofalifetimetolearnabouttheRCMPandtheRCMPTrainingAcademy.
Ifyouhaveanyquestionsorconcernspleasefeelfreetocontact………………………………….
Thankyouforparticipating.SendyourpackagebyMay 13, 2016
The envelope with the completed application only should addressed be as follows:
Professional Standards unit
Unité des normes professionnelles
Attention:Julie Armitage
PO Box 3900 / c.p. 3900
1445 Regent Street / 1445 rue Regent
Fredericton NB / N.-B. E3B 4Z8
PARENTS/GUARDIANSPERMISSIONANDLIABILITYWAIVER
I,theguardian/parentof_herebygivepermissionfor toparticipateintheYouthEngagement Week.Iunderstandthathe/shewillbeinvolvedinavarietyofactivitiesincludingbutnotlimitedto firearmtraining.Iacknowledgethatsomephysicalactivitywillbeinvolvedandstatethat
isingoodphysicalconditionandiscapableofparticipatinginstrenuousphysicalactivity.Ialsounderstandthatamedicalexaminationisrecommendedbutnotrequired,toensurethat _____willbecapableofparticipatinginthephysicalactivities.Ialsounderstandthattherecouldbemediacoverageofthiseventwhichcouldincludeaphoto,yourchild’sname,andcomments.ThisinformationcouldshowuponRCMPadvertising.
Further,theundersignedagreestoassumeallrisksofparticipatingintheYouth Engagement Week,anddoesherebyremise,release,andforeverdischargetheROYALCANADIANMOUNTEDPOLICE,itsservantsandagents,fromanyandallmannerofactions,debts,claimsanddemands,thatsaidundersignedmayhaveanyreasonofanymannerarisingoutofthesaidactivitiesorganizedbytheROYALCANADIANMOUNTEDPOLICE,DepotDivision(RCMPTrainingAcademy)duringtheYouth Engagement Week.
InwitnesswhereofIhavesetmyhandthisdate:
Year:Month:Day:attheCityof______.
_
WitnessSignatureApplicantsSignature
WitnessSignatureParent/GuardianSignature
RELEASEANDINDEMNIFICATIONAGREEMENT(THE“AGREEMENT”)
Inconsiderationoftheacceptanceof(the“PARTICIPANT”)voluntaryparticipationintheRoyalCanadianMountedPolice“ Youth Engagement Week”,thePARTICIPANTreleaseHERMAJESTYTHEQUEENINRIGHTOFCANADA,THEATTORNEYGENERALOFCANADA,THEROYALCANADIANMOUNTEDPOLICE,(collectivelycalledthe“RELEASES”)andtheirofficials,agents,employees,officers,directors,servantsandrepresentatives,fromandagainstallclaims,actions,costs,expensesanddemandsinrespecttoanyinjury,lossordamagetothePARTICIPANT’Spersonorproperty,howsoevercaused,arisingoutoforinconnectionwiththePARTICIPANT’StakingpartintheYouth Engagement Week.
ThePARTICIPANTacknowledgesthatheorshe/theyhas/havebeenfullyinformedoftheinherentphysicalrisksassociatedwithparticipatingintheYouth Engagement Weekand,despitebeingfullyinformedofsuchphysicalrisks,thePARTICIPANT,withlegalguardianconsent(ifapplicable),voluntarilywishestoparticipateintheYouth Engagement Week.
ThePARTICIPANTunderstandsandagreesthatthisAgreementisbindingonthePARTICIPANT,andhisorher/theirheirs,executors,administratorsandassigns.
ThePARTICIPANThasreadthisAgreementandfullyunderstandsitscontents. INWITNESSWHEREOFthePARTICIPANThasexecutedthisAgreementasofthe dayof ,2016at
the of intheTerritoryorProvinceof
NAMEOFPARTICIPANTSignatureofparticipant
NAMEOFLEGALGUARDIAN SignatureofGuardian
NAMEOFWITNESSSignatureofWitness
SCHOOLANDPERSONNALINFORMATION(PleasePrint)
SCHOOLINFORMATION:
SchoolName: ______SchoolDistrict: ______
SchoolContact: Telephone: ______
Community: Grade: ______
PERSONAL INFORMATION:
Name______(Last, First, Middle)
Address(PostOfficeBox): City: Postal: ______PhoneNumber: Cell Phone: ______DateofBirth(dd/mm/yr): Age: Sex: Male Female Height:_____ Weight______ProvincialHealthCareCard#: E-Mail:
Driver’sLicense#: Province of
FamilyDoctor: Phone number:
Address: ______
Mother
Name:
Phone(home): (work):
Address:
Father
Name:
Phone(home) (work)
Address: ______
Guardian:
Name:
Phone(home): (work):
Address:
EmergencyContactPerson
Name:
Phone(home): (work):
Address:
Pleaselistyourhobbiesand/orinterests:
Pleaselistanyspecialskills/experience:
Pleasedescribeanyvolunteerworkthatyouhavedone:
Whydoyouwishtotakepartinthisprogram?
Inyourownhandwriting,explainyourviewofthepoliceofficer’sroleinsociety.
MEDICALQUESTIONNAIRE
StudentName:
SchoolName: SchoolDistrict:
Although we encourage students to actively participate in all activities, physical activities offered throughout theYouthEngagement Week is entirely optional.
For those students who wish to participate in any or all physical activity during the YouthEngagement Week,
PLEASEREADTHEFOLLOWINGCAREFULLY:
Policeofficersmustmaintainahighleveloffitnesstoperformtheirdutieseffectivelyandprofessionally.AttheYouthEngagement Week, youwillbeexpectedtobeingoodconditionandinjuryfree.
ThephysicalcomponentsoftheYouthEngagement Weekmay includeparticipationinteamsportgames,andsimulationsofpolicescenarios. Furthermore thestudentswillbeexposedtoasimulatedphysicalabilityrequirementevaluation (PARE),whichiscurrentlyrequiredforRCMPentry.Thisisaphysicallyrigoroustest.Completionofthistestrequiresparticipantstoperformatnearmaximumheartrates,challengeupperbodystrength,muscularenduranceandcoordinationskills.
Itisrecommended that each participating studentundergoesamedicalexaminationbyaphysicianifthestudent intends to partake in anyortheguardianshaveanyconcerns.
Readandhonestlyanswereachofthefollowingquestions.Anyinformationregardinginjuriesmustbevolunteered.Ifitisnot,andtheinjurysurfacesduringtheactivitiesattheYouthEngagementWeek,thestudentmaybeexpelled.
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1.Listanyinjuriesorillnessesaffectingphysicalactivity.
2.Haveyoubeenunderadoctor’scareforanyreasonwithintheprecedingtwo(2)years?
Ifyes,explain:
3.Doyouhaveaboneorjointproblemthatcouldbeaggravatedbyphysicalactivity?
Ifyes,explain:
4.Doyoufeelpaininyourchestwhenyouexercisephysically?
5.Doyouexperiencedizziness,ordoyoueverloseconsciousness?
6.Areyoucurrentlyonmedication:Ifyes,explain:
7.Doyouhaveanydietaryrestrictions?
SignatureofStudent:_____Date: ______
SignatureofParent/Guardian:Date:
NameofParent/Guardian:
DepotYouth Engagement Week - CandidatesGeneralRulesandRegulations
1.Onceatthe Academy site,candidatesshall notleavetheRCMPTrainingAcademy withoutspecificdirection or authorization.
2.Candidatesshall turn in all medicationstostaff immediately upon arrival.Designatedstaff willsupervisecandidates' takingof medication asprescribed.Ana-kitsandinhalersshall bereportedonarrival;however,will be retainedby thecandidate.
3.Alcohol,non-prescription drugsandanyother intoxicantsareprohibited.
4.Smokingis notpermittedat theacademy atany time.
5.Candidatesshall notenter theaccommodationsor roomsof theoppositegender,unlessaccompaniedby a staffmember or guardian.
6.Candidatesshall remain in their assignedlivingquartersfrom 21:30 to06:00 hours,unlessspecifically directedotherwiseby staff.
7.Candidatesareresponsibletoensure thecleanlinessandorganization offacilities,includingassignedcandidatequarters,in accordancewith directionsfrom staff.
8.Candidatesshall useonly thosefacilitiesassignedtothem and notmake use of otherfacilities/amenitieswithoutspecific directionfrom astaff member.
9.Candidatesmust, atalltimes,followandobey all directionsof staff.
10.Full Disclosureof any injuriesmustbedisclosedtoany staff,prior andduringtheacademy.Thedisclosure is toensureyour continuedhealth.
ImportantNoticeforParentsandCandidates- Any Candidatewho failsto comply withrules,regulations, staffdirectionsor staffguidance,or whobecomedisruptiveto theacademy,may have theirparticipation in theAcademycancelled andbeimmediatelyreturned home.
By signingyou herebydeclare thatyou havereadandunderstood the General RegulationsandRules.
StudentSignature:______Date:(YY/MM/DD) ______
Parent/Guardian Signature:______Date:(YY/MM/DD) ______