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JAC Home JCMT UKIRT Contact info JAC Divisions OMP Outreach Seminars Staff-only Wiki Weather Web Cameras ____________________ Employment Opportunities Gemini/JAC library Mailing lists Public Wikis Safety Manual	Observer/Visitor Accommodation Request Form Please fill out this form before you come to observe at JCMT and/or UKIRT. Note that you must have javascript turned on for the form to work. If you are having trouble with this form you can still use the old text based form. * = Required Field Observer's Information *Observer's Name: *Institute: *Full Billing Address: *Telescope: JCMT UKIRT JCMT & UKIRT *Proposal Number: *Principal Investigator: Arrival in Honolulu Arrival Date (mm/dd): Airline Flight Number (UA0000): Arrival Time (20:00 or 10:00p): Accommodations in Honolulu Please click for accommodation and general travel information Hotel: Arrival Date (mm/dd): Departure Date (mm/dd): Arrival in Hilo or Kona Please click for important information on arrival times Location: Hilo Kona Arrival Date (mm/dd): Airline Flight Number (UA0000): Arrival Time (20:00 or 10:00p): Accommodations in Hilo or Kona before run Location: Hilo Kona Hotel: Arrival Date (mm/dd): Departure Date (mm/dd): Hire/Rental Car Pickup before run Location: Hilo Kona Collect Date (mm/dd): Pickup Time (20:00 or 10:00p): Hire/Rental Car Return before run Location: Hilo Kona Return Date (mm/dd): Return Time (20:00 or 10:00p): Hale Pohaku Requirements Arrival Date (mm/dd): Departure Date (mm/dd): First Meal: Dinner Late Dinner Breakfast Next Day Do You Want: Vegetarian Meal Non-Vegetarian Meal List Any Special Dietary Restrictions/Food Allergies: Would you like a room in the: Smoking or Non-Smoking Section Note: Our standard departure time from HP to Hilo is 14:00. If your flights require that you depart earlier, you must advise us in advance. Accommodations in Hilo or Kona after run Location: Hilo Kona Hotel: Arrival Date (mm/dd): Departure Date (mm/dd): Hire/Rental Car Pickup after run Location: Hilo Kona Collect Date (mm/dd): Pickup Time (20:00 or 10:00p): Hire/Rental Car Return after run Location: Hilo Kona Return Date (mm/dd): Return Time (20:00 or 10:00p): Departure from Hilo or Kona Please click for important information on arrival times Location: Hilo Kona Departure Date (mm/dd): Airline Flight Number (UA0000): Departure Time (20:00 or 10:00p): Accommodations in Honolulu Hotel: Arrival Date (mm/dd): Departure Date (mm/dd): Hotel and Hire/Rental Car Confirmation Information (Please note that we do not arrange vacation-related reservations) Have you confirmed any of the above hotel and/or hire car reservations on your own? Yes No If yes, please advise reservations that you have confirmed: Contact Information (This information will be kept confidential and will be destroyed after your visit) Is there are phone number at which you may be reached prior to your departure for Hawaii? If staying with a family in Hawaii before or after your run, is there a number at which you can be reached? Next of Kin: *Name: *Relationship: *Phone: Emergency Contact if different from above: Name: Relationship: Phone: Medical Insurance Information (UK visitors, please note that NHS coverage is not valid in the United States) Carrier/Insurance Co.: Driving on Mauna Kea Do you have a drivers license? Yes No (Note: You will be required to present this on arrival at the JAC) Are you able to drive a vehicle with a manual gear change? Yes No (Please note that all JAC vehicles have manual gear change) Are you willing to drive from Hilo to Hale Pohaku in a JAC vehicle upon your arrival? Yes No If no, will you need a lift with someone from the JAC? Yes No If no, please indicate the means of transportation that you will have: (e.g., hire car or privately-owned vehicle) Have you observed on Mauna Kea before? Yes No Have you observed on our telescope before? Yes No Do you have previous driving experience on Mauna Kea? Yes No If so, are you prepared to drive between HP and the summit, if necessary? Yes No High Altitude Medical Certificate Have you signed and returned a medical disclaimer form to the JAC? Yes No (No one will be allowed to work at UKIRT/JCMT without having signed the form) Are you a current employee of STFC? Yes No If so, do you have a current High Altitude Medical Certificate on file with your institution? Yes No Please be aware that you must be medically cleared by a doctor for work at high altitude (4,000+ m) and must have a current medical certificate on file with your organization prior to your working at UKIRT or JCMT. If you do not have a current certificate, please contact your local Personnel Department to arrange for a medical examination prior to your leaving the UK. PATT Information Is this visit awarded on a PATT grant? Yes No If so, please be aware that all UK observers who have been awarded a travel and subsistence Research Grant from STFC, will have their Hale Pohaku bill (meals and lodging) paid directly by the JAC. Therefore, it is imperative that the name of the Principal Investigator appears in the proper space at the top of this form. Seminar Information Would you be interested in giving an informal seminar? Yes No Other Requirements Acknowledgement *To whom acknowledgement should be sent: *E-Mail Address: Other Observers coming to Hawaii Please complete/e-mail this form to the JAC three weeks before your arrival. Address your requests to: - Linda Gregoire (l.gregoire@jach.hawaii.edu) re JCMT bookings - Anna Lucas (a.lucas@jach.hawaii.edu) re UKIRT bookings Please address any comments, suggestions or requests regarding this Web page to: David Fuselier   d.fuselier@jach.hawaii.edu

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