Space Available Signup PRIVACY ACT STATEMENT AUTHORITY 10 U.S.C. B013; EO 8397, 22 November 1943. PRINCIPAL PURPOSE: To apply for air travel, SSN is needed for positive ID. ROUTINE USE(s): Records from this system of records may be disclosed for any of the blanket routine uses published by the air force. DISCLOSURE IS VOLUNTARY: Failure to provide the information may result in member not being accepted for travel on military aircraft. Disclosure of SSN is voluntary. -------------------------------------------------------------------------------- Please ensure that ALL information on this form is filled out! Without this information, a sign up WILL NOT be made, and your application WILL BE DISREGARDED. "THE INTERNET IS NOT SECURE! PLEASE DO NOT PASS ANY INFORMATION THAT YOU DO NOT WISH KNOWN. IF YOU DO SO, YOU ACCEPT LIABILITY FOR DISCLOSURE OF SAID INFORMATION." -------------------------------------------------------------------------------- 1. Copy and paste all of the following information into an E-Mail. 2. Provide requested information for each line. 3. Send the E-Mail to: Elmendorf AFB Space Available Signup -------------------------------------------------------------------------------- If there are problems, someone may need to contact you for more information, please provide the following non-essential data for this purpose. Email Address: Home Phone: Duty Phone: -------------------------------------------------------------------------------- The following is MANDATORY! If not completed, your application WILL be disregarded. Name (Last, First, Mi): Rank: SSN (optional): Seats required: Travel status: _____Category I Civ or Mil Dependent on Emergency Leave _____Category II Environmental Morale Leave (EML) _____Category III Active Duty on Ordinary Leave / House Hunting _____Category IV (EML) Unaccompanied Dependents _____Category V Permissive TDY or TAD / Student Travel _____Category VI Retired Military / Reserves For overseas travel: Border clearance documents current? _____YES _____NO Service: _____AF _____ARMY _____MARINES _____NAVY _____OTHER Date Leave begins (Active Duty only): Date leave ends (AD only) (If extended, you must notify us before this date):