TURTLE VALLEY COUNCIL OF GOVERNMENTS Physical Admission Form Police Officer Candidate’s Name_______________________________________ This signed form and your current VALID PENNSYLVANIA DRIVER’S LICENSE must be brought to the testing site. Allegheny County Police Training Academy 700 West Ridge Drive, North Park Allison Park, Pennsylvania15101-1799 (412)931-3523 Tuesday, December 11, 2018 All applicants should be at the testing site no later than 9:45 AM. Wear appropriate clothing to be able to participate in Physical Agility Test as prescribed by the Allegheny County Police Academy and outlined on the following Physical Agility Components Form. Waiver I have read and understand the requirements of the Physical Agility Test set forth below on page 5 and knowing this, I believe myself to be in good health and physically fit to participate in this test. I represent that to the best of my knowledge and belief I have no physical condition that would likely cause physical injury, disability, or illness as a result of attempting to perform the elements of the test as described above. In consideration of processing my application, and intending to be legally bound, I hereby release, indemnify and hold harmless the Turtle Creek Valley Council of Governments, its staff, members and testing agents. In addition, I release, indemnify and hold harmless the Borough of Churchill, Borough of East McKeesport, Borough of Edgewood, Township of North Versailles and the Borough of White Oak, their agents, their elected officials, their appointed officials, their respective Civil Service Commissions and their members, and the owners, custodians, directors and employees of the property on which the test is given from all claims, demands and suits which may arise or result from any injury or illness which is caused by or results from taking or attempting to take the test as set forth above. Signed ______________________________ Date ____/_____/_______ Physical Agility Components
TURTLE VALLEY COUNCIL OF GOVERNMENTS Physical Admission Form Police Officer Candidate’s Name_______________________________________ This signed form and your current VALID PENNSYLVANIA DRIVER’S LICENSE must be brought to the testing site. Allegheny County Police Training Academy 700 West Ridge Drive, North Park Allison Park, Pennsylvania15101-1799 (412)931-3523 Tuesday, December 11, 2018 All applicants should be at the testing site no later than 9:45 AM. Wear appropriate clothing to be able to participate in Physical Agility Test as prescribed by the Allegheny County Police Academy and outlined on the following Physical Agility Components Form. Waiver I have read and understand the requirements of the Physical Agility Test set forth below on page 5 and knowing this, I believe myself to be in good health and physically fit to participate in this test. I represent that to the best of my knowledge and belief I have no physical condition that would likely cause physical injury, disability, or illness as a result of attempting to perform the elements of the test as described above. In consideration of processing my application, and intending to be legally bound, I hereby release, indemnify and hold harmless the Turtle Creek Valley Council of Governments, its staff, members and testing agents. In addition, I release, indemnify and hold harmless the Borough of Churchill, Borough of East McKeesport, Borough of Edgewood, Township of North Versailles and the Borough of White Oak, their agents, their elected officials, their appointed officials, their respective Civil Service Commissions and their members, and the owners, custodians, directors and employees of the property on which the test is given from all claims, demands and suits which may arise or result from any injury or illness which is caused by or results from taking or attempting to take the test as set forth above. Signed ______________________________ Date ____/_____/_______ Physical Agility Components
Application-Package-A-TVCOG-2018-2-002-1.docx