Please Note: You must be a Military Member who was injured in the Iraq and/or Afghanistan war while serving on active duty. Injury can be defined as not only physical but psychological and/or emotional injuries.

                (All areas with a red * are a required to submit your form.)


"If your country's worth living in, it's worth fighting for... you can't fight a war without losing lives. Although no one wants killing, sometimes it has to be. To keep your country free sometimes you have to fight and die. It was to be a great honor to us."   

~ Billy Mabin Shankill Road, 1916 Somme victim of the 36th (Ulster) Division, The Road to the Somme


Apply to be a Speaker

After Submitting your form you will be taken to the Home page of our Website. Someone will contact you within 24-48 hours. Thank you for your service and sacrifice to our country.