The document provides guidance on obtaining leadership buy-in for initiatives by addressing who to approach, why the initiative is worth their time, what actions are wanted from leadership, and how to sell the initiative to leadership. It suggests defining the purpose and benefits of the initiative, finding pain points it can address, and outlining the impact, priorities it supports, and return on investment. Examples of effective ways to obtain buy-in included demonstrating impact of changes to legislation or internal audit results. The overall message is to be persistent, find allies, and engage at the grassroots level.