Scholarship Request Form

Together We Can Help Save Lives!

Full Name

Phone

1. Please Tell Us About You Organization/Church/School.

2. Please Tell Us About The Event You Would Like Kristen To Speak/Share Her Story At. (Your Mission, Vision, Etc.)

3. Please Tell Us Why You Would Like A Scholarship For This Event.

4. If Granted A Scholarship How Much Of The Honararium Would You Be Able Give To Reaching You Ministries?

5. If Granted A Scholarship Would You Be Willing To Take A Free Will Offering At This Event?