17-R-0011_WAFB_CATM_Attch_3_General_Info_and_Policy_Letters.pdf

PDF 2 MB Posted Jan 24, 2017

Attached to: CATM Remodel
Solicitation number: FA4625-17-R-0011
Issued by: Department of the Air Force Global Strike Command

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Attachment 3 - General Information

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17-R-0011_WAFB_CATM_Solicitation_24Jan17.pdf	PDF	Jan 24, 2017
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Attachment 3

FA4625-17-R-0011

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DEPARTMENT OF THE AIR FORCE

AIR FORCE GLOBAL STRIKE COMMAND

W H I T E M A N A F B - M I S S O U R I

FOR OFF ICIAL USE ONLY

DESIGNATED TOBACCO

USE AREAS

SHEET: 1 OF 1

DATE: 15-APR-2014

SCALE:

PREPARED BY: 509 CES/CENME

COMM: 660.687.6277 | DSN: 315.975.6277

660 10TH STREET, STE 129

WHITEMAN AFB, MO 65305

LOCATION MAP

1:12,0004 0 125 250

Meters

0 500 1,000 Feet

Legend

Io Proposed DTA

PATH: N:\CEPT\02_Projects\Tobacco_Use_Area_Mapping_Project-2012\Approved_DTA_Large_Map_APR-2014.mxd

REQUEST FOR FOREIGN NATIONAL ACCESS TO WHITEMAN AIR FORCE BASE

Sponsor Name: _______________________________________________________

Sponsor Military/Government Employee Status: _____________________________

Security Clearance Status:

PRP Status:

Sponsor Unit/Address: _________________________________________________

Name of Foreign National: ______________________________________________ (use a separate request for each individual)

Country of Citizenship: ________________________________________________

Country of Residence: _________________________________________________

Holds Passports From: _________________________________________________ (list all countries)

Government ID #1: __________________Government ID #2: _________________

Dates of Requested Access to Whiteman Air Force Base: ______________________

Reasons for Requesting Access: ___________________________________________

Sponsor Signature: ________________________________ Date: _______________ By signing above, I acknowledge I am responsible for all activities and actions of the above foreign national I am sponsoring onto Whiteman AFB, to include his/her behavior and the areas he/she travels. I agree to provide direct guidance and supervision over him/her at all times and understand I will be held accountable for his/her actions.

Received by 509 SFS: ____________________________________ (date/time/initials)

OSI Review:

OSI Special Agent Signature: _____________________________________________

Command Decision: Base Access

Note Any Limits/Conditions: ______________________________________________

Signature: _________________________________________ Date: ______________

17-R-0011_WAFB_CATM_Attch 2_Policy Letters a-d.pdf

Attachment 3a Installation Traffic Code

Attachment 3b Designated Tobacco Policy

DTA Policy - Whiteman AFB - 30 Apr 2014

WAFB Approved Designated Tobacco Use Areas (APR-2014)

Attachment 3c Foreign National Access

S16040815360

Request For Foreign National Access

Attachment 3d Drug Free Workplace

Sponsor Name:

Sponsor MilitaryGovernment Employee Status:

Clearance: [None]

PRP: [Not PRP]

Sponsor UnitAddress:

Name of Foreign National:

Country of Citizenship:

Country of Residence:

Holds Passports From:

Government ID 1:

Government ID 2:

Dates of Requested Access to Whiteman Air Force Base:

Reasons for Requesting Access 1:

Reasons for Requesting Access 2:

Date:

Received by 509 SFS:

Review: [No Issues]

Access: [Approved]

Note Any LimitsConditions:

Date_2:

File details come from the government source that posted it. Updated Nov 14, 2017.