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      EDA Speaking Request Form

*OMB Control Number 0690-0038**Expires: 7/31/2026*

Requested Principal
    (optional)
        

- None -Assistant Secretary Alejandra CastilloDeputy Assistant Secretary Dennis AlvordDeputy Assistant Secretary Craig BuerstatteDeputy Assistant Secretary Cristina Killingsworth

Organization

Organization/Event Point of Contact (Name/Email/Phone number)

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Please provide detailed description of event

Date of Event (if multiple days, please include)

Specific time for Principal participation (include time-zone)
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Deadline for Acceptance

Event location (Venue Address/City, State)


    
If virtual, please indicate
        
Yes

NoIf unable to attend live, will you accept recorded remarks
        
Yes

NoPrincipal’s role(s)
        Keynote

Panelist

Grant announcement

Congressional request

Other...

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    (optional)If requesting as a panelist, please include invited panelists

If requesting as a panelist, please specify other confirmed panelists

What is the goal/objective with the principal’s participation

Are you (the host) or any active participants (ex. panelists) an applicant, member of, or associated with a consortium that applied to the EDA’s Tech Hubs or Recompete Pilot programs?  If so, how?


    
If principal is unable to attend; is a surrogate desired?
        
Yes

NoVIPs  Invited

VIPs  Confirmed

Expected Audience Size

Expected number of U.S. Govt. Employees (including members of Congress and their staff) expected

Brief Description of Non-Federal Attendees (e.g., industry representatives, trade association members, think tanks, academia, media, foreign government officials


    
Q&A session
        
Yes

NoOpen Press
        
Yes

NoBio/Photo needed
        
Yes

NoPlease provide any additional pertinent information for the event (i.e., agenda, website, etc)




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