HRBT Expansion Project Presentation Request Form

Presentation Request Form
Thank you for your interest in the HRBT Expansion Project. We look forward to presenting to your group about this transformative undertaking. Please complete the form below and a member of the team will be in contact about next steps.

We request that you do not submit dates more than 3 months in advance. Presentation opportunities are at the discretion of HRBT Expansion Project Staff and may be conducted virtually or in-person depending upon distance from project office and staff availability.

If you need assistance or have questions, do not hesitate to contact the HRBT Expansion Project Team at HRBTinfo@VDOT.Virginia.gov
Date of Request (Today's Date)*

MonthDayYear
Date
PRESENTATION DETAILS
Organization/Group/Company*
Type of Organization/Group/Company*
Contact Person*

PrefixFirst NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Presentation Type*

General/Community OutreachTechnical/EngineerEducation/Career
Are you requesting an in-person presentation, or virtual presentation via an online platform such as Zoom, Webex, Google Meets,etc.?*

In-person PresentationVirtual Presentation
If you are requesting an in-person presentation, provide the address of the location.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
For in-person presentations, the HRBT Expansion Project team will need access to a screen, projector, and an internet connection. Please select what you will provide.*

ScreenProjectorInternet ConnectionOther
Please provide the DATE & TIME you would like your presentation. Dates are not guaranteed and are subject to construction activities and availability of project personnel.*

MonthDayYear
Date
Hour MinutesAM/PM Option
Number of expected attendees from your organization/group/company*
How much time is allotted for the presentation? (30 minutes, 1 hour, etc.)*
Are there any special needs for your group that we should consider, please explain:
Provide a brief over of why your group is requesting a presentation*
Referral Agency or Individual
How did you hear about presentations offered by the HRBT Expansion Project Team?*

VDOT employeeHRCP employeeContractor for HRBT Expansion ProjectI attended a presentationSocial MediaHRBT Expansion Project Newsletter
The VDOT-HRBT Expansion Project reserves the right at any time to adjust the terms for presentations due to staff availability, safety, inclement weather or unanticipated activities as it pertains to the project.

Please allow up to 3 business days for a team member to review and respond to the request.

Thank you!
Should be Empty:

Presentation Request Form

PRESENTATION DETAILS

Referral Agency or Individual