The In-Person Event Industry Participant Registration

Which event are you participating in? *

Name *

First

Last

Organization *

Email *

Phone *

Do you agree to share your basic contact information with other participants in this project? *

Do you have a valid CAC? *

CAC Expiration Date *

Date of Birth *

Driver's License # *

State of Issuance *

Are you a U.S. Citizen? *

Do you have any dietary restrictions? *

Please list so we can make appropriate accommodations. *

Do you have a current U.S. National Security Clearance? *

1. Submit your collateral (Non-SCI) clearance if applicable to the following JPAS SMO Code: US0BF4FW6

POC information:

Jojo Balmaceda

Cell 719-551-6795

2. If JPAS or DISS is not available, organization security manager will provide a memorandum stating the following information:

Submit signed memorandum via email at SSR_USAFA@usafa.edu

How will you attend this event? *

For virtual attendees, prior to the event, you will receive links and access tools via email.