Response

Please answer the following two questions. If the meeting is not virtual, please choose Not Applicable for the platform.

Is this meeting being held virtually?

If yes, please indicate which virtual platform is being used (Zoom, Blue Jeans, Google Hangouts, Microsoft Teams, Webex etc.)?

Have you invited any other USPTO speakers/panelists?

If yes, please specify other USPTO invited speakers/panelists:

Date and time of speaker participation

Location

Please include full location of the where the event is being held.

Event Information

Is the host a lobbying organization?

Is the host a "For Profit" organization?

Do you anticipate audience Q&As?

Confirmed or other invited speakers/panelists (Please include titles):

Composition of audience (e.g. patent attorneys, academics, business executives, federal employees, think tanks, policy makers, lobbyists, etc.)

Is the media expected to be in attendance?

Is the event open to the public?

Is there any fee for attendance?

Will there be any food/drink provided?

Proposed Agenda (if no agenda and if possible, please provide agenda or link to agenda for same event in prior year(s)):

Proposed agenda

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If travel expense(s) are being offered, please indicate the nature of the expense. (e.g. ground, airline, hotel, meals).

Will the presentation be recorded or made public?

Will the presentation be webcast?

Has the sponsor solicited the participation of USPTO employees in other events within the last 3 years?

Requester contact information

Prefix

First Name

Last Name

Title

Organization

Address Line 1

Address Line 2

City

State

Zip

Phone

Cell Phone

For more information or questions, please email SpeakingRequest@uspto.gov