HHS Office of Small and Disadvantaged Business Utilization (OSDBU) Outreach Participation Request

EVENT INFORMATION

Title/Theme: *

Event Type (Virtual, In-Person, Hybrid, Pre-Recorded): *

If pre-recorded, please provide the broadcast date:

Event Date: *

Event Time: *

Address *

City *

State *

ZIP *

Sponsoring Organization: *

Website:

Event Purpose/Objective(s): *

AUDIENCE INFORMATION

Audience Type(s) (Small Business, Association, Government, etc.): *

Estimated Number of Attendees: *

Will there be media present? If so, please list the media outlets that will be represented at the event:

Will there be politicos in attendance?

REQUESTED SUPPORT

Please select all that apply. *

Speaker

Exhibitor

Panel Member

Matchmaking

Other (Please specify.)

Requested Speaker Topic (if applicable):

Registration Cost (if applicable):

Booth Cost (if applicable):

EVENT POINT OF CONTACT

Name: *

Phone Number: *

Email: *

Please provide any additional pertinent information about your event: *

Content created by Assistant Secretary for Public Affairs (ASPA)
Content last reviewed April 27, 2023

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