COMMUTER VAN POOL QUESTIONNAIRE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP85-00988R000100110053-2
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: June 28, 2000
• Sequence Number: 53
• Content Type: FORM

? CONE I i~Et41 I Approved For Release 2QODI.( /14 :c lXROP85-UU908RD00100110053-2
COMMUTER VAN POOL. QUESTIONNAIRE
I am interested in becoming a member of a Commuter Iran
Pool. I would l- ke to be a (circle one) Driver Passenger
Either
1. Name
2. Badge No.
3. Building
4. Extension
kS Home lddr c,.-s (to include County of Residence)
6. Duty Hours : St art work
Leave Work
7. Are you under t over' (: i rc1 e one) I`es No
r 1 f you have icc t?,s t.o C' c of i' r scr;tiei car fool grid rr,ap,
]c:.se irid ica te Grid
Inl
Approved For Release 2000/09/14: CIA-RDP85-00988R000100110053-2