Fillable Travel Survey Form printable pdf download

TRAVEL SURVEY

(For Scheduling Attorney General’s Honors Program Interviews: (Oct 26 – Nov 13, 2015)

Instructions:

1. Review the information at

thoroughly.

2. Complete this form after receiving notification from the components that selected you.

3. Submit by email to DOJHonorsProgram@usdoj.gov. On the email Subject line, enter your name as

follows:

Last Name; First Name – Travel

Survey.

 Send only one survey no matter how many interviews you receive.



DO NOT

attempt to update a previously submitted survey by submitting an amended one. Instead,

contact Felicia Foushee at

Felicia.foushee@usdoj.gov

for assistance.

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 at end of document. Travel itineraries and interview information will be sent by e-mail, when possible.

Current Address:

____________________________________________________________________

(Street, city, state, zip)

Travel Departure Location (if different than address): ______________________________________________________

Telephone numbers: (Primary) ____________________ (Alternate) ____________________

Emergency contact: (Name & telephone)(voluntary)_____________________________________________________

If you are traveling outside your normal commuting area, do you wish to travel using your personal vehicle (POV)?

_____ YES _____ NO Comment: __________________________________________________________________

__________________________________________________________________________________________________

_________________________________________________________________________________________________.

You must 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 DATES:

Click here to see whether your interviewing component has availability restrictions before listing your preferred

interview week and day.

The Department will consider your preferred dates 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.” We will not reschedule interviews or travel except in cases of emergency. See

careers/honors-program-interviews

for details.

Travel Survey Form

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