xxxx HP Travel Survey

OMB Number: 11050030 Expires 07/31/2016

TRAVEL SURVEY
(For Scheduling Attorney General’s Honors Program Interviews: Oct 21 – Nov 8, 2013)
Instructions:
1. Complete this form upon notification of the components that selected you for an Honors Program interview(s) and submit by FAX
(no cover sheet) to the DOJ Conference and Contract Section at 202-307-5851. Do NOT use a fax cover sheet. Send one
survey no matter how many interviews you receive. Fax one time only and check the fax confirmation to see if it was received. If
so, do not send further fax copies (receipt of multiple copies causes confusion and delays scheduling). If you do not make any
entries on page 2 of this survey, fax us page 1 only. Visit www.justice.gov/careers/legal/hpinterview.html for additional
information.

Full Name (as listed on the HP Application): ________________________________________________
Name to be listed on travel reservations (If different): ________________________________________
Date of Birth (MM / DD / Year): MM___ / DD

/ Year______

Gender: ___ Male ___ Female

Please print clearly. Full name (including middle name or initial), date of birth, and gender are required by TSA.

Social Security Number: __________________ E-mail (Mandatory): ______________________________
SSN is required for Government travel. See Privacy Act notice on page 2. Travel itineraries will be sent to you by e-mail, when possible.

Current Address: (Street, city, state,

zip)_________________________________________________________

Location You Want To Depart From (if different): ______________________________________________
Telephone numbers: (Day) ________________ (Evening) _______________ (Cell) _________________
Emergency contact: (Name & telephone) _____________________________________________________
Fax number where you can receive interview schedule (Mandatory): _____________________________
Please ensure that anyone who receives a fax on your behalf knows how to contact you immediately if a DOJ fax arrives.

If you are traveling outside your normal commuting area, do you wish to travel using your personal
vehicle (POV)? _____ YES _____ NO Comment: __________________________________________
________________________________________________________________________________________
[You must either be within a reasonable distance of your interview site or meet other Federal 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.]
If you are interviewing in both Washington, DC and in another city, please specify the interview(s) you want to drive to in the comment space
above.

Your preferred major airport: __________________________________. Other accessible airports:
_________________________________________________________________ Please list all reasonably accessible
major airports. It is frequently less expensive to drive to a major airport, then embark, rather than to fly from smaller airports and change
planes. List city and state (or foreign country) for airports.

Is commercial train travel available from your location to Washington, DC? ___ Yes ___ No
Is commercial train travel available from your location to New York City? ___ Yes ___ No
Preferred Interview Week: Rank 1, 2, 3: _____ Oct 21 - 25 _____ Oct 28-Nov 1 _____ Nov 4-8____
(EOIR Candidates: see page 2 for interview location preference and availability dates)
Preferred Interview Day: Rank 1 - 5: ____Monday ____Tuesday ____Wednesday ____Thursday ____Friday

List all dates you are unavailable for interviews or travel. Once travel is booked, we CANNOT reschedule.
I cannot travel or interview on: ____________________________________________________________.
Interviews will be scheduled in the order responses are received. The Department will consider your interview
preferences but cannot guarantee that your preferences will be accommodated. We will not schedule you for travel or an
interview on dates you list as “unavailable.” Visit www.justice.gov/careers/legal/hpinterview.html for guidance on what to do in
case an emergency that affects your interview arises prior to or during travel.

NAME: ________________________________________________

If you have a disability or special need that affects your travel or interview, please email Deana Willis at
Deana.Willis@usdoj.gov to request a reasonable accommodation.

If you are not interviewing with EOIR, do not fax back this
page of the Travel Survey.
Check the box if you were selected to interview by any of the following offices. Please note interview
date restrictions and, if necessary, amend your interview preferences on page 1.
Executive Office for Immigration Review
Interview Date Availability
If you are interviewing only with OCIJ, check the box
by the location nearest to you. If you are
interviewing with OCAHO, BIA, or OGC, check
Falls Church, VA. Ensure the dates you list on page
1 correspond to the availability dates listed here.
San Diego, CA

Week 1 – Monday 10/21, Wednesday 10/23, Friday 10/25
Week 2 – Tuesday, 10/29 and Friday, 11/1
Week 3 – available all week

New York, NY

Week 2 only – available Monday 10/28 through Friday 11/1

Denver, CO

Week 1 – Monday 10/21 through Thursday, 10/24
Week 2 – Monday 10/28 through Friday, 11/1
Week 3 – Monday 11/4 through Thursday, 11/7

Falls Church, VA* If you are interviewing with
Office of the General Counsel, Board of Immigration All dates available.
Appeals, or Office of the Chief Administrative Hearing
Officer, then you will interview in Falls Church, VA at
EOIR Headquarters.
.
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 to schedule your travel to Washington, DC, or other locations, for interview(s) with components participating in the
Attorney General’s Honors Program. The Office of Attorney Recruitment and Management (OARM) collects this information in order to prepare travel
authorization forms and to schedule commercial travel. OARM has the authority to request this information pursuant to 5 U.S.C. §301, and 28 C.F.R. Part
0.15(b)(2). Because accepting an interview with the Department of Justice is a voluntary action, you are not required to provide any personal information.
Failure to provide the information necessary to authorize and schedule commercial travel to and from your interview may result in forfeiting your interview
and/or not being reimbursed for travel expenses you incur in the interview process.

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