Skip Main Navigation

Community Engagement and Service Speakers Bureau - Request Form

Thank you for your interest in requesting a speaker from the Fulton County Superior Court. Please use the form below to tell us more about your event, organization and needs. The Public Information Officer will follow up with you via email confirming receipt of your request within three days. Further information will be provided by way of email or telephone upon review of the request. Required fields are marked with the word required. Use the TAB key to move forward through fields; use SHIFT+TAB to move backwards through fields.

Contact Information of Person Requesting Speaker

 required   

 required   

 required   

 required   

    

 required   

 required   

 required   

 required   

 required   

 required   

Organization Information

 required   

    

 required   

 required   

Event Information

 required   

 required   

 required   

If no, please provide Event Address here:
    

    

    

    

    

    

Presentation Information

 required   

    

    

 required   

    

 required   

    

 required   

    

 required   

 required   

 required   

 required   

 required   

 required   

    

   


required I agree that no person for reason of race, color, sex, religion or national origin will be excluded from or segregated within membership in sponsoring organization, attendance at event or any of the facilitates housing the event.







Office of the Court Administrator
Superior Court of Fulton County
136 Pryor Street, S.W.
Suite C-640
Atlanta, Georgia 30303
Office Number: 404-612-4518
Fax Number: 404-730-5368