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

Event Address
  *

          
Address
  *

City
  *

State
*




- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

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.)

Enter other...

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 Back to top
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