Request for Speech/Appearance by the President

This form has been designed to help coordinate speeches and appearances by President Carlton E. Brown. You may submit the form online, or if you do not wish to submit the form online, you can print it out (PDF; requires Adobe Acrobat) and return it via fax or mail to the Office of the President (fax number and address below). Please submit your request at least 10 working days prior to the event.

Name of Event: *required
Date and Time:   *required
Contact Person:   *required
Office Phone:   *required
Cell Phone:
Mailing Address:
President's Arrival Time:
Departure Time:
Event Location:   *required
Event Address: *required
Event Location Phone:   *required
Where should President enter?
Who will greet President upon arrival?
Who will introduce President at event?
Nature of Event:

Are remarks requested? Yes No
Welcoming remarks Short remarks
Speech Major address
Topics President should address: *required

Will there be other speakers? Yes No
If so, who?

Will CAU alumni be in attendance? Yes No
If so, who?

Press/Media expected to attend: Yes No
Media representatives or organizations expected:

Number of persons estimated to be in attendance: *required

Contact person at event location:
Contact person's cell/pager numbers:

If the President is unable to speak on the requested date, will you accept an alternate speaker from Clark Atlanta University? Yes No

If Yes, please choose one of the following alternate speakers:



Any other important information?



Please fax or mail the following to our office as soon as possible:

  • Specific driving directions from CAU to your event
  • Parking information for the President
  • An event agenda
  • Any press release produced by your event organizers
  • Background information or speech guidelines

Fax to:
(404) 880-8560

Mail to:
Office of the President
Clark Atlanta University
223 James P. Brawley Drive, S.W.
Atlanta, GA 30314

If you have any questions, please do not hesitate to call our office at (404) 880-8566.

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223 James P. Brawley Drive, SW--Atlanta, GA 30314--(404)880-8000