Speaker Request Form

Thank you for your interest in inviting Dr. Mohler to speak at your event. Please complete the following form and include as much detail as possible.

This information will be necessary as Dr. Mohler's calendar committee considers the invitation. You will receive a response in coming weeks once a decision is made.

For news media seeking comments from President R. Albert Mohler Jr. or other seminary personalities, please contact:

Caleb Shaw
Director of Media Relations

Phone: 502-897-4139
Email: cshaw@sbts.edu

Personal Contact

First Name*

Last Name*

Email*

Street Address*

Street Address Line 2

City*

State / Province / Region*

Zip / Postal Code*

Phone*

Website

Event Information

Name Of Event*

What Is The First Day Dr. Mohler Will Be Speaking?*

What Is The Last Day Dr. Mohler Will Be Speaking?*

Organization Sponsoring Event*

Vision / Purpose For Event*

Event Location: Please Provide Address.*

Target Audience*

Estimated Attendance*

Number Of Pastors And / Or Seminarians Expected To Attend*

If Previously Held, Attendance Total Of Last Event*

Other Requests Or Helpful Information

Preliminary Schedule, Including Speaking Time(s) For Dr. Mohler.

Number Of Times Requesting Dr. Mohler To Speak*

Length Of Time For Dr. Mohler To Speak*

Topics For Dr. Mohler To Address*

Specific Text For Dr. Mohler To Use

Travel Information

List Airports Near Venue

Estimated Travel Time From Airport To Venue

What Day Do You Expect Dr. Mohler To Arrive?*

What Day Do You Expect Dr. Mohler To Depart?*

What Time Should Dr. Mohler Arrive?*

Will You Be Covering Travel Expenses (i.e., Airfare, Lodging, Meals, And Rental Car) For Dr. Mohler?*

Media Information

Will You Provide A Master-quality, Digital Audio Or Video Recording (if Applicable) Of The Presentation(s) To Use At Our Discretion?*

If So, Do We Have Permission To Post The Presentation(s) On Albertmohler.com?*

Would You Allow Southern Seminary To Set Up A Display Table To Distribute Free Resources To Your Attendees?*

Related Links

Speaker Request Form

Personal Contact

Event Information

Travel Information

Media Information