Outreach Event Request Form
Thank you for your interest in having Federal Student Aid at your upcoming event. Please complete this form to submit your request for a FSA representative. All events should be scheduled two weeks after the submission to allow for proper processing. Please direct all questions to FSAOutreach@ed.gov
Requestor First Name
*
Requestor Last Name
*
Requestor Email Address
*
Requestor Contact Number
*
Organization Name
*
Type of Organization
*
For-Profit
Government
Non-Profit
Military
Other
Organization Address
*
Is this request for more than one date/time?
*
No
Yes
Date of Event
*
Event Time
*
Time Zone
*
Central Time Zone (Central Standard Time)
Eastern Time Zone (Eastern Standard Time)
Mountain Time Zone (Mountain Standard Time)
Pacific Time Zone (Pacific Standard Time)
Alaska Time Zone (Alaska Time)
Additional Event Information (If Applicable)
Date of Event #2
Event Time #2
Date of Event #3
Event Time #3
Event Name
*
Event Topic
*
Debt Relief - Not available at this time
FAFSA/Financial Aid
Other
Public Service Loan Forgiveness (PSLF)
Event Type
*
Please note there is a very limited availability to travel to do physical outreach due to budget at this time.
Physical (LBJ)
Remote/Virtual
Is this an open or closed press event?
*
Closed - Reporters not allowed to attend
Open Press- Open to reporters
Virtual Platform
Microsoft Teams
Microsoft Teams Live
Social Media (Facebook, Youtube)
Stream Yard
Telephone town hall
WebEX
Webinar
ZOOM
Microsoft Teams
ZOOM
N/A
Other
Will this event be recorded?
*
No
Yes
Where will the recording be shared?
Event Format
*
Presentation
Roundtable
Workshop/Training
Requested FSA Representative
*
Based on availability
Fred Stennis
Isaiah Ellis
No preference
Tanika Mangum
Audience Size
*
A minimum of 25 participants is required for consideration and approval.
Audience Type
*
Borrowers
Parents
Partners (School, Non-Profit, Higher Ed Professionals)
Students
Is there an audience charge/cost for the event?
*
No
Yes
Additional Information/Comments
Have a flyer or more details? Upload them here.
Confirmation of Submission
*
I hereby confirm that the information provided on this form is accurate, correct and complete and that the documents submitted along with this request are genuine.
Send me a copy of my responses
Email address
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