Travel & Badge: Sponsor

CRESST II: VISITOR MANAGEMENT SYSTEM (VMS)

Request Submitted By:

Last Name *

First Name *

Email Address *

I am the visitor/traveler:

I am the task sponsor:

Support Requested By:

Task Sponsor Last Name: *

Task Sponsor First Name: *

Email Address:

Special Projects Task Number:

Support Requested For:

Travel Support: *

NASA Visitor Badge:

Full Name: *

Email Address: *

Affiliation:

Mailing Address: *

Is this a home address: *

Is this a business address: *

Phone Number: *

Citizenship: *

U.S. Green Card Holder:

U.S. Green Card Holder

Green Card Expiration Date:

Date of Departure: *

Date of Return: *

City of Departure: *

City of Destination:

*Activity start and end date should include travel dates if applicable.

Purpose of Travel or Statement of Work: *

Travel Support:

Would you prefer a direct billed reservation at the Holiday Inn Greenbelt? *

Special Notes:

Has this visitor ever received a NASA visitor badge previously? *

Yes
No
Unsure or N/A

Will this visitor require NASA full IT access? *

Yes
No
Unsure or N/A

If yes, please list any special system requirements below:

Will this visitor require after-hours access?

Yes
No
Unsure or N/A

If yes, please list ALL locations, and provide a justification for the request:

Will this travel include any personal travel days?

Yes
No
Unsure or N/A

If yes, how many:

Will this travel be combined with any unrelated travel?

Yes
No
Unsure or N/A

If yes, provide details below:

Will the traveler/consultant require assistance applying for a visa? *

Yes
No
Unsure or N/A

If yes, provide details below: