ASA 2024 Travel Form

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Appalachian STEM Academy at Oak Ridge Travel Form
 By completing this Travel Form, you are choosing to provide the Appalachian STEM Academy at Oak Ridge and ORAU (together with its authorized agents, “ORAU”) with personal information. ORAU will use the information provided to facilitate your travel arrangements throughout the duration of your participation in the Appalachian STEM Academy at Oak Ridge. ORAU is required to protect medical and other personal identifiable information it obtains in accordance with the Privacy Act of 1974, 5 U.S.C. 552a. Personal information may be subject to disclosure, where ORAU is required by law to disclose or otherwise use such information. Submitting personal information (name, address, telephone number, medical history, gender, etc.) is voluntary; however, failure to complete this form may result in the participant’s loss of eligibility to participate in the Appalachian STEM Academy at Oak Ridge.
Please select your type of participation in the Appalachian STEM Academy at Oak Ridge.
Type of transportation from your home to Oak Ridge, TN at the beginning of the program.
If plane ticket is needed, please list the closest airport (City, State, and airport code) to your home.
Type of transportation from Oak Ridge, TN to your home at the end of the program.
If plane ticket is needed, please list the closest airport (City, State, and airport code) to your home.
Name as it appears on your government issued ID (Driver's License, Passport, etc.) Name must match your government ID for your airline ticket.
First Name
Middle Name
Last Name
Please list additional comments about your travel needs to and from Appalachian STEM Academy at Oak Ridge.