ANY PERSON KNOWINGLY MAKING A FALSE WRITTEN STATEMENT SHALL BE LIABLE TO PUNISHMENT FOR A CLASS “A” MISDEMEANOR UNDER SECTION 210.45 OF THE NEW YORK STATE PENAL LAW.

As a condition of my participation in the Auxiliary Police Program or in the application process, I acknowledge that I have been advised of this zero-tolerance policy and I agree that I am subject to the terms described above. I have been appraised of the duties for which I am volunteering and realize that I must be in good physical condition to participate in the program. I do hereby certify that to the best of my knowledge, I am in good physical health and suffer no medical disabilities which would disqualify me from participation in the New York City Auxiliary Police Program. I do hereby agree, that if such medical disability becomes known to me at some future date, I will immediately make the information learned, known to the Auxiliary Police Section in writing. All of the information entered on this form is true to the best of my knowledge.

Applicants for the Auxiliary Police Program are required to be physically capable of performing the essential functions of the position of Auxiliary Police Officer, including, but not limited to, patrol duties. Patrol duties include wearing a uniform with an equipment belt and a bullet-resistant vest weighing (10) ten to (15) fifteen pounds. Auxiliary Police Officers also perform foot post which includes standing and walking for approximately (3) three hours or more. Certain foot posts include traffic and pedestrian control for an extended period of time in all types of weather and environmental conditions. In addition to the initial self-defense training, all Auxiliary Police members must pass a yearly self-defense refresher which requires them to perform the following maneuvers:  Demonstrate various strikes (punches) and kicks repeatedly on an impact pad  Demonstrate blocking maneuvers  Handcuff an individual  Swing a police baton repeatedly with force  Demonstrate how to escape from various choke holds The Auxiliary Officer has to possess physical balance, hand strength, and flexibility in order to accomplish all of these maneuvers. Auxiliary Police also serves as the “ EYES and EARS” for the Police Department. Therefore, it is necessary that participants be able to:  Remain alert and observant of any suspicious or out-of-the-ordinary situations  Be able to visually inspect the post they are assigned to  Maintain visual observations of dangerous incidents or crimes in progress and report back to police personnel  Be able to hear and transmit instructions over a police radio including times when background noise is present You can assist the N.Y.P.D. in its effort to ensure that our applicants / current members are physically capable of performing the essential functions of the position of Auxiliary Police Officer. All the information obtained in the medical inquiry will be treated as confidential.