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2G Hour-Long Presentation Request

Full Name*
School or Organization*
School or Organization Address*
Work Email*
Work Phone*
Educator Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Email
Home Phone
Cell Phone
Grade level and discipline*
Please note that this program is appropriate for 7th grade and above.
Students/Participants*

Please provide the number of students/participants for whom we should reserve seats. Also, please provide the number of adult chaperones–at minimum 1 per 15 students.
Scheduling preferences*
1st preference: date/time 2nd preference: date/time 3rd preference: date/time
Indicate 3 possible date and time preferences. Our speakers are able to make single one-hour presentations, so if multiple classes are to hear the speaker, they must be pulled together into one group.
Briefly describe your Holocaust instruction and how you plan to prepare students for this 2G presentation.*
Please provide this information about your classroom instruction if you are a 7th-12th grade educator.
Briefly describe how you plan to address this experience in your classroom following the program.*
Please provide this information about your classroom instruction if you are a 7th-12th grade educator.

Our mission is to teach the history of the Holocaust, applying its lessons to counter indifference, intolerance, and genocide.

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5801 West 115th Street STE #106,
Overland Park, KS 66211