Florida Humanities Council

Speakers & Programs > Become A Road Scholar

Road Scholar Application Form

Please fill out this form completely. Attach a current resume or curriculum vitae and a brief narrative bio in Word format at the end of the application form. Incomplete applications will not be accepted. You will receive an automated confirmation upon successful submission of your application. FHC will contact you within two weeks after you submit your application.

Contact Information

First Name

Last Name

Address

City

State

Zip

Work Phone

Home Phone

Cell Phone

Which is the best way to contact you? (Select all that apply)

Work phone
Home phone
Cell phone
Email

Set restrictions on time or travel

Profession

Current Position

Employer Name

Address

City

State

Zip

Proposed Topics

Provide a title and description for up to three proposed topics. Please limit program descriptions to 4-5 sentences each. FHC encourages the use of audio/visual components in programs. Provide information on the type of technology used and the nature of the material.

Topic 1: Working Title

Topic 1: Description

Topic 1: Describe audio/visuals if included

Topic 2: Working Title

Topic 2: Description

Topic 2: Describe audio/visuals if included

Topic 3: Working Title

Topic 3: Description

Topic 3: Describe audio/visuals if included

Experience

Activities/publications (Provide brief information on research or other activities related to your proposed topic(s). Include publishers and dates for relevant books and articles.)

Public speaking experience. (Provide examples of presentations to non-academic audiences)

Other languages. (Please indicate if you are able to give your presentation in languages other than English).

References

List names and contact information for two colleagues who can attest to your effectiveness in presenting to non-academic audiences.

Name

Title

Employer

Daytime phone

Email address

Relationship