AMPO Presentation Request Requester Information Question Title * 1. Name (Required.) Question Title * 2. MPO/Organization (Required.) Question Title * 3. Email Address (Required.) Question Title * 4. Phone Number (Required.) Question Title * 5. Are you an AMPO member? (Required.) Yes No Not sure Question Title * 6. State (Required.) Question Title * 7. MPO/Organization type (Required.) MPO State DOT Local government Association/Professional organization Federal agency Consultant/Private sector Other Presentation Information Question Title * 8. Requested presentation date (Required.) Question Title * 9. Preferred presentation time (Required.) Question Title * 10. Time zone (Required.) Eastern Central Mountain Pacific Alaska Hawaii Question Title * 11. Is the date/time flexible? Yes No Somewhat If yes, please specify Question Title * 12. Requested presentation length (Required.) 15 minutes 30 minutes 45 minutes 60 minutes Other Question Title * 13. Presentation format (Required.) Virtual In-person Either Question Title * 14. If in person, where will the presentation take place? Topic / Content Question Title * 15. What topic would you like AMPO to address? (Required.) Question Title * 16. Please provide a brief description of the topic or issue you'd like addressed. (Required.) Question Title * 17. Are there specific bills, legislation, regulations, agencies, programs, or initiatives you'd like discussed? (Required.) Question Title * 18. Is there a particular geographic or state/local context you'd like the presentation to address? Audience Question Title * 19. Who will be attending? MPO executive/director-level staff MPO planning/technical staff MPO policy/government affairs staff Board members/elected officials State DOT representatives Local government officials Consultants/private sector Students/early-career professionals Other Question Title * 20. Approximately how many people are expected? Question Title * 21. What is the audience's level of familiarity with the topic? Beginner Some familiarity Advanced Mixed Question Title * 22. Are there particular concerns, questions, or issues you expect the audience to have? Presentation Expectations Question Title * 23. What are you hoping attendees will learn or take away from the presentation? Question Title * 24. Will the presentation be recorded? Yes No Not sure Question Title * 25. Will the presentation/slides be distributed to attendees afterward? Yes No Not sure Technology / Logistics For virtual presentations: Question Title * 26. What platform will be used? Zoom Microsoft Teams Webex Other Question Title * 27. Who will provide the meeting link? Requesting organization AMPO For in-person presentations: Additional Information Question Title * 28. Are there any special requests or considerations we should be aware of? Question Title * 29. Are there materials, background information, or previous presentations you would like us to review? Question Title * 30. Is there anything else you'd like AMPO to know about your request? Question Title * 31. How did you hear about AMPO's presentation opportunities? Please note: AMPO will make every effort to accommodate presentation requests based on staff availability, subject-matter expertise, and scheduling. Submission of this form does not guarantee that AMPO will be able to fulfill the request. Done
