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Holocaust Center for Humanity - Field Trip Request Form
Thank you for your interest in scheduling a field trip! We are now accepting requests for both in-person AND virtual (Zoom) field trips during the 2022-2023 school year.
Please review the policies and requirements below before completing this form.
Virtual:
https://www.holocaustcenterseattle.org/teach/field-trips/23-visit/688-field-trip-faqs
In-Person:
https://www.holocaustcenterseattle.org/teach/field-trips/23-visit/674-field-trip-faqs
The Holocaust Center for Humanity is located in Seattle, WA and priority is given to schools and groups in Washington State and the greater Pacific Northwest. If you are outside this area, we encourage you to check this directory for your local Holocaust museum:
https://www.ahoinfo.org/membership
Questions? Please contact Morgan Romero at Morgan@HolocaustCenterSeattle.org
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* Gibt eine erforderliche Frage an
E-Mail-Adresse
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Ihre E-Mail-Adresse
I have read and understand the information outlined above. I agree to abide by these policies.
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Yes
No (Please go back and review before completing this form.)
Your Last Name:
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Meine Antwort
Your First Name:
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Meine Antwort
I am a:
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Teacher
Parent
Organizer
Sonstiges:
Name of School:
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Meine Antwort
School/Organization Street Address:
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Meine Antwort
School/Organization City:
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Meine Antwort
School/Organization State:
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Meine Antwort
School/Organization Zip Code:
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Meine Antwort
Best phone number to reach you:
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Meine Antwort
Type of phone number:
Cell
Home
School
Sonstiges:
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Preferred email address for us to use to contact you:
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Meine Antwort
Have you hosted an HCH field trip before (Check all that apply)?
Yes, I have hosted field trip at the museum
Yes, I have hosted a field trip virtually
No, I have not hosted a field trip
What type of field trip would you like to request?
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In-Person Field Trip at the Holocaust Center for Humanity in downtown Seattle (90 min)
Virtual Field Trip via Zoom (this is the Holocaust Center's preferred virtual method) (45 min)
Number of student participants:
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Meine Antwort
Number of teacher participants:
Meine Antwort
Grade Level of Students (Select all that apply):
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Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
College/University
Graduate
Adult
Pflichtfrage
Class Subject:
English/Language Arts
History/Social Studies
Sonstiges:
Auswahl löschen
Please select the best description of your group's experience with Holocaust studies:
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Beginning - No prior information. This program will be an introduction for students/attendees.
Basic - Audience has learned basic historical information like dates and introductory vocabulary.
Moderate - Audience is familiar with historical information and vocabulary and are beginning to think about complex questions associated with Holocaust history.
Advanced - Audience is fluent in historical details and is capable of conversing on the complexity of Holocaust history. Audience can connect Holocaust history to other non-Holocaust issues.
Unsure
Please select the content areas relevant/of interest to your group. Check all that apply.
Survival in hiding/false identity
Ghettos and concentration camps
Rescue or resistance
Escape and refugees
Please provide 3-5 sentences setting context for your group's level of Holocaust knowledge. What exposure have they had to the topic previously? What else will they be doing in their classroom surrounding the Holocaust? What will they have done by the time they have the field trip? Will they be reading any Holocaust-related books ahead of time? If so, which ones? (Need suggestions? Let us know!)
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Meine Antwort
The Holocaust Center often documents field trips with photography or Zoom recording. Photos and recordings may be used for the Center's publicity and archive, or in print/web publications. Does your school/district allow for such photography?
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Yes
No
Yes, but parents/guardians need to sign the Holocaust Center's release form
Sonstiges:
How did you hear about the Holocaust Center?
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Meine Antwort
Other comments, questions, or special considerations about your group?
Meine Antwort
Please suggest at least two days and times that work best for you.
Date 1:
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Datum
From Time:
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Zeit
:
To Time:
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Zeit
:
Date 2:
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Datum
From Time:
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Zeit
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To Time:
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Zeit
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Date 3: (optional)
Datum
From Time:
Zeit
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To Time:
Zeit
:
Please select the other Holocaust Center programs/resources you are interested in learning more about and we will contact you about opportunities.
Speakers Bureau
Teaching trunk or artifact kit
Professional Development on the Holocaust for educators
Best Practices Holocaust curriculum
Writing, Art, and Film Contest for students
If you are requesting an in-person field trip/group visit, please fill out the information below regarding the $175 fee:
If you are interested in a scholarship for the admission and security fee ($175) and/or for bus transportation (up to $200), please additionally fill out this form:
https://forms.gle/FJo7sbo3d4vYeMcr8
Name of person being invoiced:
Meine Antwort
Preferred invoice method:
Email
Mail
Auswahl löschen
Email of person being invoiced:
Meine Antwort
Mailing address of person being invoiced:
Meine Antwort
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