Workshop Registration Form

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

In the past 5 years, how many Holocaust-related workshops have you attended at this institution? *

In the past 5 years, how many Holocaust-related workshops have you attended at another institution? *

If you attended Holocaust-related workshops at another institution, which one did you attend? *

In what professional capacity are you participating in this workshop? *

What subjects do you teach? *

If you chose other, what subject do you teach? *

What age students do you teach? *

What is the name of the school in which you work? *

In what city is your school located? *

What is the main context in which you teach about the Holocaust? *

If other, please elaborate: *

What are the main sources you use to teach about the Holocaust? *

If other, what sources do you use? *

What are the two primary reasons you have registered for this workshop? *

As a history teacher, to provide me with the skills to integrate the Holocaust in my classroom.
As a non-history teacher, to provide me with the skills to integrate the Holocaust in my classroom.
To prepare me to accompany a group of students to Eastern Europe.
To prepare me to lead, plan, or participate in a Holocaust rememberance event.
To provide me with personal enrichment.
To provide credit for continuing education and professional advancement.
Other

If other, please answer below: