The Aim High, Miss High Experience for High School Seniors

The Aim High, Miss High Experince
Speaker Engagement Request

Ecanoa and the Aim High, Miss High Team thank you much for the opportunity to share the AHMH Experience with your seniors. Please complete the form in its entirety. Upon receipt of all pertinent information, a representative from the AHMH team will contact you within 2-3 business days.
School's Name*
Primary Contact Name*

FirstLast
Primary Contact Number

Area CodePhone Number
Primary Contact Email
example@example.com
School Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where will the event be held?

AuditoriumGymnasiumLibraryClassroomCommonsOther
How many seniors will be attending the AHMH Experience?
Approximate number of AHMH Books for seniors?
Approximate number of AHMH Books for senior counselors/teachers?
Approximate number of AHMH T-Shirts for seniors?
Approximate number of AHMH T-Shirts for senior counselors/teachers?
Approximate number of AHMH Books and T-Shirts for Principal and Assistant Principal(s)?
Indicate the number of school visits you prefer.

One Site Visit (The AHMH Experience will cover all 7 Principles).Two Site Visits (The AHMH Experience will cover 3 principles on the 1st visit and 4 principles on the 2nd visit. (RECOMMENDED)
Select the amount of speaking time allotted for the speaker.
Choose your preferred date and time for the 1st AHMH Exp. during the 2025-2026 school year.
If choosing (2) site visits, choose the date and time for the 2nd AHMH Exp.
After the completion of the AHMH Experience, you will receive a link to give feedback. In an effort to support the AHMH Experience with seniors districtwide, will you share our AHMH Exp. Proposal that will be attached to the feedback link with administrators from other schools within the district?

YesNoUndecided
Does the AHMH Team have your permission to use event pictures for promotional purposes?

YesNoUnsure, Need More Information
Should be Empty:

The Aim High, Miss High Experince