Speaker Request Form - Scholarship
Veteran owned and operated, Mission Ambition, LLC sets aside 10% of our Schedule of Events for community service.  
Funds to provide this service are limited.

This form is only for schools and community organizations that do not have a budget for a Professional Speaker.

If your organization has paid for a Speaker in the past, please contact us for a quote at 248-519-2325.

Sign in to Google to save your progress. Learn more
Email *
Chaplain Shelly Rood, creator, Others Over Self®
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mission: Ambition, LLC.