OBSERVER/VISITOR ACCOMMODATION REQUEST SHEET OBSERVER'S NAME: INSTITUTION: BILLING ADDRESS: TELESCOPE: _____ JCMT _____ UKIRT PROPOSAL NUMBER: PRINCIPAL INVESTIGATOR: Airline/ ARRIVAL IN HONOLULU: Date: Flt No.: Time: ACCOM. IN HONOLULU: Hotel: In: Out: ARRIVAL IN Airline/ HILO OR KONA? Date: Flt No.: Time: ACCOM. BEFORE RUN: Hotel: In: Out: HILO OR KONA? ____ HIRE-CAR BEFORE RUN: Collect Date: Time: Hilo or Kona? Return Date: Time: Hilo or Kona? HALE POHAKU REQUIREMENTS: In: Out: First Meal: __Dinner __Late Dinner __Breakfast Next Day Do you want vegetarian meals? 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 2:00pm. If your flights require that you depart earlier, you must advise us in advance. ACCOM. AFTER RUN: Hotel: In: Out: HILO OR KONA? ____ HIRE-CAR AFTER RUN: Collect Date: Time: Hilo or Kona? Return Date: Time: Hilo or Kona? Airline/ DEPARTURE FROM Date: Flt No.: Time: HILO OR KONA? ___ ACCOM. IN HONOLULU: Hotel: In: Out: (Please note that we do not arrange vacation-related reservations). HAVE YOU CONFIRMED ANY OF THE ABOVE RESERVATIONS ON YOUR OWN? IF YES, PLEASE ADVISE RESERVATIONS THAT YOU HAVE CONFIRMED. IS THERE A 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? CONTACT INFORMATION (This information will be kept confidential and will be destroyed after your visit) NEXT OF KIN: Name: Relationship: Phone: EMERGENCY CONTACT IF Name: DIFFERENT FROM ABOVE: Relationship: Phone: MEDICAL INSURANCE INFORMATION (UK visitors, please note that NHS coverage is not valid in the United States) CARRIER/INSURANCE CO.: DO YOU HAVE A DRIVER'S LICENSE? (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? (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? IF NO, WILL YOU NEED A LIFT WITH SOMEONE FROM THE JAC? IF NO, PLEASE INDICATE THE MEANS OF TRANSPORTATION THAT YOU WILL HAVE (e.g., hire car, privately-owned vehicle, etc.) HAVE YOU OBSERVED ON MAUNA KEA BEFORE? HAVE YOU OBSERVED ON OUR TELESCOPE BEFORE? DO YOU HAVE PREVIOUS DRIVING EXPERIENCE ON MAUNA KEA? IF SO, ARE YOU PREPARED TO DRIVE BETWEEN HP AND THE SUMMIT, IF NECESSARY? HAVE YOU SIGNED AND RETURNED A MEDICAL DISCLAIMER FORM TO THE JAC? (No one will be allowed to work at UKIRT/JCMT without having signed the form) ----------------------------------------------------------------------------- ARE YOU A CURRENT EMPLOYEE OF STFC? If so, do you have a current High Altitude Medical Certificate on file with your institution? Please be aware that you must be medically cleared by a physician 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. ----------------------------------------------------------------------------- IS THIS VISIT AWARDED ON A PATT GRANT? 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. WOULD YOU BE INTERESTED IN GIVING AN INFORMAL SEMINAR? OTHER REQUIREMENTS: 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 04/08