LLE Visit Request

(Based on previous form v8.1 Rev. E - 2025-04-17)

Last Name*

First Name*

Email Address*

Host's Name*

Note: Host must be an LLE employee (Staff / Faculty)

Host's Email Address*

Affiliation (Employer or School)*

Purpose of Visit?*

Select or enter value

Brief description of the purpose for visit

Do you need to use the Powell Scope?

Select

Are you trained to use the LLE Powell Scope?

Select or enter value

Will you be doing hands-on work while at LLE?

Select or enter value

What is your citizenship?*

Select

Enter your citizenship

Phone number you can reached at during your visit*

(This will be used for business purposes only.)

Phone

Arriving at LLE*

(Note: For those who are not U.S. citizens a minimum of 60 days' notice is required to process your visit request.)

Departing from LLE*

Send me a copy of my responses

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