Road Scholars Request and Evaluation Forms

Please click the link below to complete and submit the Road Scholars Speaker Request Form.

Speaker Request Form

The additional forms below are for Program Coordinators. Upon receiving your confirmation e-mail, please download and print the forms below.

Audience & Program Coordinator Evaluation Forms


The forms below are for Speakers only. Upon receiving confirmation of your event, please print and complete Travel Reimbursement & Evaluation Forms below.

Scholar Evaluation Form

Scholar Reimbursement Form


If you have any questions or experience technical difficulties, contact T.C. McLemore at or (205) 558-3999.