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Little Rock Air Force Base Civic Outreach Request Form


Thank you for your interest in Little Rock Air Force Base, Arkansas! The 19th Airlift Wing Public Affairs office arranges all civic outreach and community relations events that link base personnel to community events or interactions. Although Little Rock AFB personnel would like to participate in every civic outreach opportunity, please remember we must remain mission focused so we are not able to support every request we receive.

Due to current mission requirements and current force restructuring plans, our office is no longer able to provide Junior ROTC detachments individual tours. However, all JROTC detachments are invited to participate in our annual Airpower Arkansas JROTC Expo; tentatively scheduled on an annual basis for the last Friday of April.

If you have questions about how to invite Little Rock AFB personnel to be a part of your event, please contact the Civic Outreach office at 501-987-3601. All civic outreach requests must be submitted no later than 45 days prior to the date of the event.

Contact Information

Your Full Name:
Your Group's Name (school, organization):
Your Mailing Address:
City:
State/Country:
Zip/Postal Code:
Phone Number:
Alternate Phone Number:
Fax Number:
E-mail:
Today's Date:

Event Required Information

Type of Event (Please Specify):
If other, please explain:

Actual location of event (please provide venue name, street address,
city, state, zip code and a good contact number at the location):


Number of Adults:
Number of Children:
Childrens' Age Range:

Are special/DV guests invited? Yes No
Congressional member? Yes No
Name(s) of guest(s):

Has media (television, print or radio) been invited to the event? Yes No

If it is a tour, please specify the type of tour:
Civic Leader Group
Reunion Group
Professional Group
School Group
Foreign National Group
Other

If your event involves visiting Little Rock Air Force Base, do you have transportation? Yes No
Due to security requirements, will members of your group be willing to provide personal information to meet
base entry requirements (i.e. driver's license number and state it was issued from)? Yes No

Primary Event Date:
Month:
Day:
Year:
Alternate Event Date (All event requests must have a primary and an alternate date):
Month:
Day:
Year:
Event Times (Between 9 a.m.-3 p.m.):

Meal Required/Provided? Yes No
Please explain what is required/provided:


Lodging required? Yes No
Lodging on or off base? On Off

Tour Stop Requests (For one-day tours, only select 4 stops, please.) All requests must be checked for availability

Medical Clinic
Dental Clinic
Aircraft Simulator
Aircraft Static Display
Air Traffic Control Tower
Camp Warlord
Chapel
Child Development Center
Parachute Simulator
Dormitory
Explosive Ordinance Disposal
Fire Department		 Military Working Dogs
Night Vision Goggle Laboratory
Obstacle Course
Dining Facility
Recycling Center
Security Forces Armory
Sports & Fitness Center
Survival Equipment
Wash Rack
Weather
Youth Center
 

If you have any other comments/special requirements, please provide them below:




Please follow up with the community relations office at 501-987-3601 to make sure request has been received and is processing. Thank you.

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tabPublic Affairs Office
Little Rock AFB
19th AW/PA
1255 Vandenberg Blvd.
Suite 138
Little Rock AFB, AR
72099-4929
(501) 987-3601
----
Combat Airlifter
1255 Vandenberg Blvd.
Suite 138
Little Rock AFB, AR
72099-4929
tabLeadership
tabFact Sheets
tabRetiree Info
Open 7 a.m.-3 p.m. 
Monday-Friday
Building 1255, Suite 121
Little Rock AFB, Arkansas 

Contact numbers:
Toll Free: 1-877-815-3111
Local: (501) 987-6095; DSN 731-6095
Cell: (501) 231-6162
Fax: (501) 987-5865
E-mail: john.heffernan.2@us.af.mil

2011 Retiree Newsletter
tabLittle Rock FOIA Office
Little Rock AFB FOIA Office
19 CS/SCOKR
988A Cannon Drive
Little Rock AFB, AR 72099-4929

Comm: (501)987-5549 or 987-6384

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