Holocaust Museum Houston Max M. Kaplan Summer Institute - July 11-14, 2017
Option prefix: Holocaust 101 Workshop - July 10, 2017

Regular registration payment: $175.00 due by June 1, 2017
Early registration payment: $150.00 due by May 1, 2017 ($25 discount)

Optional Holocaust 101 workshop, $30

Email address
Will you attend the Holocaust 101 workshop before the Summer Institute?
Name:
Position/Title:
School Name:
School Address:
Home Address:
Work or Personal Email (different from above):
Phone (Mobile):
Phone (Work):
Do you have any dietary restrictions?
We cannot guarantee accommodation of all dietary restrictions.
Have you attended the Max M. Kaplan Summer Institute previously?
Please check which years you have previously attended
FOR RETURNING APPLICANTS ONLY
How have you used what you have experienced at the Max M. Kaplan Summer Institute in your work?
FOR RETURNING APPLICANTS ONLY
What grade level(s) and subject(s) do you teach?
FOR NEW APPLICANTS ONLY
How many years have you taught about the Holocaust and/or genocide?
FOR NEW APPLICANTS ONLY
Please list the three most significant resources you use in your teaching about the Holocaust and/or genocide:
FOR NEW APPLICANTS ONLY
Please list three goals you have for your participation in the Max M. Kaplan Summer Institute:
FOR NEW APPLICANTS ONLY
In at least two paragraphs, describe your philosophy for teaching about the Holocaust and/or genocide.
FOR NEW APPLICANTS ONLY
What Holocaust educational programs (course, conferences, travel/study programs, seminars, lectures, etc.) have you attended?
This question is for our information. Your answers will NOT exclude you from attending the institute.
List up to five community organizations you are involve in and briefly describe your participation in each.
This question is for our information. Your answers will NOT exclude you from attending the institute.
Payment options
Regular registration payment: $175.00 due by June 1, 2017; Early registration payment: $150.00 due by May 1, 2017; Optional Holocaust 101 workshop, $30
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