Outreach/Training Request Form Thank you for contacting the Office for Historically Underutilized Businesses for your outreach request. The Office for Historically Underutilized Businesses offers outreach events to government entities, community colleges, public universities, and those non-profit organizations with a focused mission for the advancement of minority /woman owned businesses. Please complete the form below to help us understand your outreach needs at least 30 days in advance of your preferred event date. All approved requests are determined based on budget and staff availability. Indicates required field Requesting Organization Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code First Name Last Name Phone number Email Address Will this Outreach/Training be held at the above location? - Select -YesNo Request for HUB - Select -Training ServicesOutreach ServicesTraining and Outreach Services Date and time of presentation/exhibit (Please provide TWO DATE OPTIONS ) 1st Date and Time Option 1st Date and Time Option: Date 1st Date and Time Option: Time 2nd Date and Time Option 2nd Date and Time Option: Date 2nd Date and Time Option: Time Length of presentation/exhibit? Hour(s) - Select -0.51.01.52.03.04.05.0 Approximate number of attendees? - Select -101520253035 Equipment available at Event Location Electrical Outlet Overhead Projector Flipchart Screen Internet WiFi White Board Please describe exactly what you would like the HUB Office to do.