Form G263-1 STEPP Interest Form

OMB Control No. 0651-0080

Expiration Date: 8/31/2018

Final Interest Form:

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The form below may be used to request participation in the Stakeholder Training on Examination Practice and Procedure program. Please fill in the information desired below and click on the “submit” button.

Requests to participate in STEPP are granted depending upon resources, training time available, and the intended target audience for each course.

Enter Requesting Information

*Items are mandatory

*Requested Course:__drop down menu___________

*First Name:_________________________________

*Last Name:_________________________________

*Company/Organization:_______________________

*Home Address:

Street Address:_______________________

City:________________________________

State/Province:_______________________

Postal/Zip Code:______________________

Country: ____________________________

*E-mail Address:____________________________

*Telephone Number:_________________________

*Are you a U.S. Citizen? y/n

*Years of Patent Related Experience: (selection: 0-1, 1-3, 3+)

*Are you registered to practice law in patent matters before the USPTO? y/n

If yes what is your registration number? ___

*Are you an inventor and have you filed, or plan on filing, a patent application? y/n

*Do you plan on filing an application as a Pro Se inventor? y/n

If you meet the requirements for the course applied for but are not selected do you want to be notified when the same course becomes available? y/n

Requests to participate in STEPP are granted depending upon resources, training time available, and the intended target audience for each course.

If you have any feedback, questions or comments regarding STEPP, please email us at [email protected].

The United States Patent and Trademark Office (USPTO) is using this interest form to gather feedback on the STEPP Program. This focus group is strictly voluntary, includes 8 questions and should take approximately 2 minutes to complete. This information collection contains requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to penalty for failure to comply with, a collection of information subject to the requirements of the PRA, unless that collection of information displays a currently valid OMB control number.