Request edit access
Sharing History Initiative Application 2019-20
This application will close at 11:59pm PST on June 30, 2019. All applicants will be notified on Monday, July 8, 2019.

Please check for an email from during that time to arrange book delivery if accepted.

If you have any questions, check out the Sharing History Initiative webpage or contact Erin:

Full Name *
Your answer
Email Address *
Your answer
Phone Number (for shipping confirmation) *
Your answer
School / Organization *
Your answer
School / Organization Address *
Your answer
Mailing Address (Books will be shipped on July 18: Please provide an address that is accessible in the summer) *
Your answer
Subject(s) Taught *
Your answer
Grade Level(s) or Age(s) *
Your answer
Expected Class Size (single class) *
Your answer
Total Number of Students Served (estimate) *
Your answer
What percentage of your students/community identify as... *
Asian American/Pacific Islander
Black/African American
Middle Eastern/Central Asian
Native American
White/European Descent
Which income level reflects the majority of your students or the community you serve? *
Please select all that apply to any of the students/community you serve. *
Please provide a short narrative description of your school/community. *
Your answer
To help us gain a better understanding of the demographics of the educators in our network, please check all that apply to you. *
With which gender do you identify? *
Never submit passwords through Google Forms.
This form was created inside of Voice of Witness. Report Abuse - Terms of Service