Los Angeles Superior Court
JUDGES' SPEAKERS BUREAU
Speaker Request Form
*Organization/School Name
*Contact Person *Name
*Mailing Address
(Include suite or room number)
*City, State & Zip Code ,     
*Phone Number Fax Number


*1.
Date of Speaking Engagement:
    ,    
2.
Location of Speaking Engagement:
(If different from above)
Location Name:  
Address:  
City, State, Zip:  ,
Phone Number:  
*3.
Time of Speaking Engagement:
:
*4.
Audience Number Anticipated:
*5.
Length of Speaking Time:
(including questions & answers)
hours
6.
Topics available for discussion:
(check all that apply)
Civil
Criminal
Small Claims
Drugs/Gangs
Role of the Judge
Drug Court
Juvenile
LA Superior Court Overview
Other: 		Traffic
Bails/Jails/Prison
Landlord/Tenant
Crime & Punishment
Jury System
Proposition 36 Courts
Family Law
Clergy
7.
Please tell us anything the Judge or speaker may need to know upon arrival (parking, etc.).