National High Magnetic Field Laboratory - Pulsed Field Facility

Each participant/visitor coming to NHMFL-PFF or LANSCE is required to fill out this form completely.

If you any questions or concerns, please contact:

NHMFL Points of Contact

Julie Gallegos: 505-665-9039 - julietg@lanl.gov
Amanda Valdez: 505-667-5032 - abvaldez@lanl.gov

LANSCE Point of Contact

Nina Roelofs: 505-665-9967 - nroelofs@lanl.gov
Salazar, Valerie: 505-667-6797 - vsalazar@lanl.gov

Visitor Information

Personal Title *

First Name *

Enter name as it appears on passport or government issued ID.

Middle Name *

Enter "NMN" for No Middle Name.

Last Name *

Enter name as it appears on passport or government issued ID.

Gender *

Female Male

Country Of Birth *

Citizenship

Country *

Select your country of citizenship.

If you are a US Citizen, your social security number is required.

NHMFL visitors please call 505-667-5032 or 505-665-9039. Do not leave a message with your DOB/SSN.

LANSCE visitors please call 505-665-9967. Do not leave a message with your DOB/SSN.

Town Of Birth *

Region Of Birth *

Visa Type *

Visa Issued Date *

mm-dd-yyyy

Visa Expiration Date *

mm-dd-yyyy

Permanent Resident *

Yes No

Are you a Permanent Resident Alien (PRA)?

Home Country / Previous Affiliation

Previous Employer Name *

Previous Employer Department *

Previous Employer Address *

Previous Employer City *

Previous Employer State *

Previous Employer Zip *

Previous Employer Phone *

Previous Employer Position Title *

Previous Employer Area Of Expertise *

Visit Information

User Facility *

Type Of Visit *

Experiment / Proposal Number *

NHMFL-PFF Experiments - enter Experiment Number
LANSCE Experiments - enter Proposal Number

Name of NHMFL / LANSCE User Support or Contact *

Arrival Date *

mm-dd-yyyy

Departure Date *

mm-dd-yyyy

Purpose Of Visit *

Please do not use abbreviations or acronyms.

Wifi Access Required *

Yes No

Will you require access to LANL's visitor wifi?

Current Work / University's Information

Employer Name *

Employer Department *

Employer Address *

Employer City *

Employer State *

Employer Zip *

Employer Phone *

Employer Email *

Employer Position Title *

Employer Area Of Expertise *

Home Address Information

Home Address *

Home City *

Home State *

Home Zip *

Home Country *

Home Phone *

Home Email *

Required Documentation

NHMFL Visitors Required Documentation

US Citizens

If you are a US citizen, please fill out the visitor form and call your point of contact with your date of birth and SSN. Please submit the following documents via file transfer (instructions below):

CV/resume
Legible copy of Passport

Note: Your CV must include all your work experience and education with Month/Date/Year.

Foreign Nationals

If you are a Foreign National, please fill out the visitor form and submit the following documents via files transfer (instructions below):

CV/resume
Legible copy of Passport and
Legible copy of Visa/Permanent Resident Card

Note: Your CV must include all your work experience and education with Month/Date/Year.

NHMFL Points of Contact:

Julie Gallegos: 505-665-9039 - julietg@lanl.gov
Amanda Valdez: 505-667-5032 - abvaldez@lanl.gov

Please make sure you email both NHFML point of contacts.

LANSCE Visitors Required Documentation

US Citizens

If you are a US citizen, please fill out the visitor form and call your point of contact with your date of birth and SSN. No other documents are needed.

Foreign Nationals

If you are a Foreign National, please fill out the visitor form and submit the following documents via files transfer (instructions below):

CV/resume
Legible copy of Passport and
Legible copy of Visa/Permanent Resident Card

Note: Your CV must include all your work experience and education with Month/Date/Year.

LANSCE Points of Contact:

Salazar, Valerie: 505-667-6797 - vsalazar@lanl.gov
Nina Roelofs: 505-665-9967 - nroelofs@lanl.gov

Documents must be sent via https://transfer.lanl.gov

Instructions:

Go to https://transfer.lanl.gov
For recipients:
- NHMFL enter: "julietg@lanl.gov, abvaldez@lanl.gov"
- LANSCE enter: "nroelofs@lanl.gov, esummers@lanl.gov, vsalazar@lanl.gov”
Ensure that the name put for 'sender' matches the name you supplied on this form
Give your files meaningful names, such as "Bob_Johnson_University_Transcript.pdf"
Follow the instructions at transfer.lanl.gov

Your university transcript is required. Be sure to use the transfer.lanl.gov service to send your university transcript.

Questions / Concerns

NHMFL / LANSCE Visitor Information Form

Visitor Information

Citizenship

Home Country / Previous Affiliation

Visit Information

Current Work / University's Information

Home Address Information

Required Documentation

NHMFL Visitors Required Documentation

US Citizens

Foreign Nationals

LANSCE Visitors Required Documentation

US Citizens

Foreign Nationals