xxxx HP Travel Survey

TRAVEL SURVEY
Attorney General's Honors Program Interviews
October 23 - November 9, 2006
Washington, D.C.
Date:

Name:
Please print
Social Security Number:
Required for Government travel
Permanent Mailing Address: (Street, city, state, zip)
E-mail:

Telephone number:

If possible, list a telephone number where you can be reached during the day.
Emergency contact:
(Evening)
(Day)
Please provide the name and telephone numbers (day and night) of a person we may contact in case of emergency.

Fax number where you can receive travel documents (Mandatory):
Many Law School Career Services offices permit use of their fax for this purpose. Please ask a Career Services professional whether you may receive
documents sent by the Department of Justice through their office. Please ensure that the staff knows how to contact you when your DOJ fax arrives.
Please check for your fax frequently.

Do you wish to drive your privately owned vehicle (POV)?

NO

YES

Must either be within reasonable commuting distance or meet other Joint Travel Regulation requirements (e.g., costs less than commercial travel.) The
Department will not authorize an overnight stay at government expense based solely on use of POV for personal convenience.]

Your Preferred Departure Airport:
City

and

State.

If

more

than

one

in

the

area,

Oct 23-27

specify.

The USAO for S.D. Florida?

Are you interviewing with the USAO for S.D. California?
Preferred Interview Week (rank 1, 2, 3):

please

Oct 30 - Nov 3

Nov 6-9

Preferred Interview Day: Check one:

Monday

Tuesday

Wednesday

Thursday

Friday

2d Choice Interview Day: Check one:

Monday

Tuesday

Wednesday

Thursday

Friday

Do you have any absolute conflicts in travel dates? Please list:
Interviews will be scheduled in the order responses are received. The Department will consider your interview preferences but cannot guarantee that
your first choice will be accommodated. If your final itinerary presents a major conflict, you may contact your scheduler at the number provided with your
faxed travel itinerary.

Law School (if currently enrolled):
Do you have a disability or special need that affects your travel? If so, please tell us what types of special services
or reasonable accommodations you need in the space below:
PLEASE COMPLETE THIS FORM IMMEDIATELY AND FAX TO THE CONFERENCE AND CONTRACT
SECTION AT (202) 307-0862. (If that number is busy, send to (202) 514-6741.)
PRIVACY ACT STATEMENT(This information is provided pursuant to the Privacy Act of 1974, 5 U.S.C.§552a[e][3]): This form requests personal
information that is relevant and necessary for scheduling your travel to Washington, DC, for your interview(s) with components participating in the
Attorney General's Honors Program. OARM collects this information in order to prepare travel authorization forms and to schedule travel
arrangements including, when necessary, hotel accommodations. OARM has the authority to ask for this information pursuant to 5 U.S.C. §301, and
28 C.F.R. Part0.15(b)(2). Because accepting an interview with the Department is a voluntary action, you are not required to provide any personal
information. However, failure to provide the information necessary to authorize and schedule travel to and from your interview may result in forfeiting
your interview and/or your being reimbursed for travel expenses you incur in the interview process.