Official Short Term Request.xls

This is an Official Short Term Access Request form used by the 316th Security Support Squadron Visitor Control Center at Joint Base Andrews. The form is a template designed to facilitate visitor access to the base and serves as the primary registration mechanism for the AFDW Small Business Summit scheduled for May 14, 2026. The form requires sponsor information including DOD ID number, name, unit/organization (316CONS/PKA), and contact details (phone: 757-952-8985, email: allen.tang@us.af.mil). Additionally, the form collects visitor information including last name, first name, middle initial, Social Security number, date of birth, start and end dates for base access, destination, state driver's license number, and company/organization affiliation.

Pursuant to the Privacy Act of 1974, the form explicitly restricts disclosure of contained information to individuals with direct need-to-know for official duties and requires direct delivery to the intended recipient without third-party intermediaries. This form is integral to the amended registration process for the AFDW Small Business Summit, replacing the previously announced online SurveyMonkey registration due to technical difficulties. Interested attendees must complete this form and submit it via email to allen.tang@us.af.mil and darya.macmillan.1@us.af.mil, and must indicate lunch and refreshment preferences in their submission email.