The In-Person Event Gov’t Participant Registration The In-Person Event Gov't Participant RegistrationPlease enable JavaScript in your browser to complete this form.Which event are you participating in? *Choose the event you are participating in.Project Cobalt: Date TBDMissile Warning: Date TBDBasic InformationName *FirstLastRank/TitleOrganization *Work Email *Personal EmailPhone *Do you agree to share your basic contact information with other participants in this project? *Y/NYesNoBase AccessDo you have a valid CAC? *Yes NoIf Yes, please provide your CAC Expiration below. In No, please provide your driver license information below for base access.CAC Expiration Date *Please enter your CAC expiration date.Date of Birth *Driver's License # *State of Issuance *Other InformationWill you register for or opt out of meals? *Register/Opt outRegister - I want meals providedOpt out - I will bring/buy my own1. Submit your collateral (Non-SCI) clearance if applicable to the following JPAS SMO Code: US0BF4FW6 POC information: SMO code: NJ1CFTS6 Reason: Hack-a-Thon ShOC-N POC: Mr. Jimmy “Rev” Jones Dates: January 5th-12th ShOC-N Security Manager: Mr. James Cooper Email: james.cooper.48@us.af.mil Comm/STE: 202-767-3977 (Currently INOP) Cell: 661-348-0822 NSTS: 987-4157Comments or questions on your participation:Phone Submit
