Educator Order Form

Educator Purchase Order Form

Order your butterflies and licenses with this form if you will be using a purchase order (PO). You MUST provide your approved PO to The Butterfly Project before your butterflies will be shipped.
Your Information
School name*
What level of programming are you bringing to your school?*

School-Wide ProgrammingIndividual Classroom(s) ProgrammingGrade-Wide ProgramingCamp ProgrammingCommunity ProgrammingLibrary Programming
What type of school or establishment?*

Public schoolCharter schoolPrivate school, religiousPrivate school, secularMagnet schoolOnline schoolAfter school program (including Sunday schools)UniversityBoarding schoolLibraryHome schoolMuseumCampCorporate/BusinessMulti-Level School (Ex. Elementary through Middle or High School)Other
Which grade level(s) does your school include? Please select all that apply.*

PreschoolElementaryMiddle SchoolHigh SchoolCollege/UniversityDoes not applyOther
Is your school Title I?*

YesNoI don't knowDoes not apply
What district is your school in?*
Your name*

First NameLast Name
Your email address*
example@example.com
Your telephone number*

Area CodePhone Number
What is your role?*

PrincipalAdministratorIn-Classroom EducatorOther
Will you be the facilitator of The Butterfly Project at your school?*

Yes, I will be the facilitatorNo, someone else will be the facilitator
Name of Facilitator/Teacher*

First NameLast Name
Email address for Facilitator/Teacher*
example@example.com
Phone number for Facilitator/Teacher*

Area CodePhone Number
What is the facilitator's role?*

PrincipalAdministratorIn-Classroom EducatorOther
Is this your school's first time participating in The Butterfly Project?*

YesNoI do not know
How did you learn about The Butterfly Project?*

ColleagueInternet searchSocial mediaFriend or family memberStudent or student's familyProfessional development seminarAssociated organization (ie- museum, ADL, another nonprofit, etc)Community eventFilm screening of "NOT The Last Butterfly"Other
Did you receive a grant from the Mark Schonwetter Holocaust Education Foundation (MSHE Foundation) to support your access to The Butterfly Project?*

YesNoOther
Is your school a part of the Anti-Defamation League (ADL)'s "No Place for Hate"?*

YesNoOther
When does your school/organization make budgeting decisions for extracurricular classroom programming like The Butterfly Project?*

SummerFallWinterSpringI'm not sureOther
Your Programming
When will your program take place?*

MonthDayYear
Date
What educational components are you planning to include in your program (either in-person or virtually)?*

Holocaust Survivor's testimony that I arrangePresentation by The Butterfly Project Education TeamPresentation from a descendant of a Survivor that I arrangePresentation by a member of The Butterfly Project's Speakers' BureauFilm or video from a source other than The Butterfly ProjectThe Butterfly Project's Documentary film, "NOT The Last Butterfly"Lesson or learning activity designed by another organization (ie- Facing History and Ourselves, ADL, Echoes and reflections, The Shoah Foundation, etc)Lesson or learning activity designed by The Butterfly ProjectReading a novel (ie- Anne Frank's The Diary of a Young Girl, Number the Stars, Night, etc)Books recommended by The Butterfly ProjectStandard course curriculumMuseum visitOther
Are you interested a presentation from The Butterfly Project Education Team?*

YesNoI am already in contact with the Education Team about a presentationI would like more information about The Butterfly Project's Education Team
Do you prefer the presentation be in-person or via Zoom? (In-person is only available in San Diego, CA)*

In-personZoom
How many classes will be participating?*
How many students will be in each class?*
What is the maximum time allotted for the presentation?*
If you wish to have the Education Team present to more than one class, is an assembly format for the presentation a possibility?*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When are your preferred dates and times for the presentation?*
Are you interested in receiving materials you can do with your students to tie in the Butterfly Project before and after you paint butterflies and/or the Education Team visit?*

YesNo
Which grade(s) will be participating in The Butterfly Project?*

Preschool7th gradeKindergarten8th grade1st grade9th grade2nd grade10th grade3rd grade11th grade4th grade12th grade5th gradeCollege/University6th grade
Within which subject(s) will The Butterfly Project be incorporated?*

History/Social StudiesLanguage Arts/LiteratureHumanitiesCitizenship, Equity, Diversity, and InclusionApplied ArtsOther
What background (units, books, films, speakers, etc.) do your students have in Holocaust education?*
Are you planning for The Butterfly Project to be:

An ongoing annual project for your whole school?An ongoing annual project for certain grades?An ongoing project for a set period of years?A one-time project for your classroom(s) this year?I'm not sureOther
Why are you bringing The Butterfly Project to your students?

I want a unique way to teach about the Holocaust.I want a meaningful activity to pair with my existing Holocaust curriculum.I want an impactful method to teach my students about the dangers of hatredI want to teach my students empathy by having them learn about real victims of the Holocaust.I like the legacy factor TBP provides and how our students look forward to becoming a part of the project once they reach my class.I want my students to contribute to a world-wide projectOther
Has your school or community experienced any antisemitism, Holocaust distortion/denial, racism, discrimination, or bullying issues?*

YesNoI do not know
Please describe any antisemitism, Holocaust distortion/denial, racism, discrimination, or bullying issues experienced at your school or community.*
What type of butterfly installation are you planning to create?*

Permanent on an external wall.Permanent on an external space other than a wall.Permanent on an internal wall.Temporary on an internal wall.Temporary on an external wall.In a display case.Other
When are you planning to create your butterfly installation? If you do not have a date yet, please offer the approximate month and year.
Would you like us to share templates and design ideas for installation options?*

YesNo
Do you need help locating resources to fire butterflies in a kiln?*

YesNo
Please provide any pertinent information about your program that you'd like to share with us.
Your Order

The special rates listed below are exclusively for educators and are subsidized through the generous support of our donors.
TBP Film Package includes:

Our award-winning documentary film, "NOT The Last Butterfly" (in full length, 58 minutes, and educator length, 25 minutes), "Sharing Our Families' Stories" (15 minutes), and "Power of Art" (10 minutes).
My Products
Categories:All

All

Butterfly Orders Needing to be Shipped (USA only)

Butterfly Orders to be Picked Up (SAN DIEGO ONLY)

Licenses

Add-ons
prevnext( X )
Butterfly Orders Needing to be Shipped (USA only)

Classroom Butterfly Kit, PLUS SHIPPING$80.00
Materials for 36 students to participate in The Butterfly Project programming. Select this option if you will need your butterfly kit(s) to be shipped (+$35.00 shipping per kit, Holiday Pricing)

Quantity
Item subtotal:$0.00

Bulk Butterfly Order, PLUS SHIPPING$222.00
Materials for 100 students to participate in The Butterfly Project programming. Select this option if you will need your bulk butterfly order shipped (+$49.90 shipping per bulk order)

Quantity
Item subtotal:$0.00

Bundle Discount- Film Package & 1 Classroom Butterfly Kit$210.00
Film + materials for 36 students to participate in The Butterfly Project programming. Select this option for a discounted rate when ordering BOTH our Film Package Screening Rights Lifetime License AND one classroom butterfly kit (+$35.00 shipping, Holiday Pricing)

Butterfly Orders to be Picked Up (SAN DIEGO ONLY)

Classroom Butterfly Kit, NO SHIPPING (for pick up in San Diego ONLY)$80.00
Materials for 36 students to participate in The Butterfly Project programming. Select this option if you will pick up your butterfly kit(s) from from TBP in San Diego, via our shipping partner at Postal Annex 707 L St, Chula Vista, CA 91911.

Quantity
Item subtotal:$0.00

Bulk Butterfly Order, NO SHIPPING (for pick up in San Diego ONLY)$222.00
Materials for 100 students to participate in The Butterfly Project programming. Select this option if you will pick up your bulk butterfly order from TBP in San Diego, via our shipping partner at Postal Annex 707 L St, Chula Vista, CA 91911

Quantity
Item subtotal:$0.00

Bundle Discount, NO SHIPPING- Film Package & 1 Classroom Butterfly Kit$210.00
Film + materials for 36 students to participate in The Butterfly Project programming. Select this option for a discounted rate when ordering BOTH our Film Package Screening Rights Lifetime License AND one classroom butterfly kit (to be picked up from TBP in San Diego, via our shipping partner at Postal Annex 707 L St, Chula Vista, CA 91911.)

Kiln-Firing of Glazed Butterflies, SAN DIEGO ONLY (per butterfly)$1.00
Select this option if you would like The Butterfly Project to kiln-fire your glazed butterflies. This service is only available for educators in San Diego. Educators choosing this service are responsible for dropping off glazed butterflies and picking up finished butterflies.

How many butterflies will you need kiln-fired?

Licenses

Participation Lifetime License (only for school making their own clay butterflies)$75.00
This is a one-time licensing fee for lifetime participation in The Butterfly Project, applicable ONLY to schools that are making their own clay butterflies. This fee is not applicable to schools that order kits from The Butterfly Project.

Film Package Screening Rights Lifetime License$180.00
This license provides your school with unlimited screenings rights to our film package for your students and their families. **TBP offers discounted screening license rates for multiple schools and whole school districts. Please contact us directly for those rates- info@thebutterflyprojectnow.org.**

Add-ons

TBP Plaque$36.00
This 4"x4" ceramic tile plaque can be added to your butterfly installation. *If you are ordering a plaque alone, or a large quantity of plaques with or without a butterfly kit order, additional shipping charges will apply that cannot be calculated on this form. You will be contacted directly by The Butterfly Project after your order has been received once that amount is known.

Quantity

Subtotal $0.00Shipping $0.00Total $0.00
Should your invoice be issued to you or someone else?

Please issue the invoice to mePlease issue the invoice to someone else
Purchase order/PO number (optional)
Enter your PO number here if you have one and you need us to reference it on your invoice.
Name of person to whom your invoice should be issued*

First NameLast Name
Email of person to whom your invoice should be issued*
example@example.com
Please share any special instructions regarding the issuance of your invoice*
Shipping Information
SHIPPING: Your kit will ship within 2-3 weeks of placing your order, and will arrive within 4-6 weeks. If you need your order to arrive by a specific date, please submit your order and promptly email our team at info@thebutterflyprojectnow.org.

PICKUPS: We require at least 2 weeks notice to accomodate a local pickup from our Kearny Mesa office location. If you need to pick up your kit sooner than 2 weeks from your order date, you must pick up from our shipping partner in Chula Vista.
Will you be picking up your kit from our local shipping partner location in Chula Vista, or will you need your kit shipped to you?*

I will pick up my kit in Chula Vista.I will pick up my kit in Kearny Mesa.Please ship my kit to me.
How would you like your butterfly kit assembled, if ordering multiple kits? For example, if there are three classes participating, would you like your order packaged in three complete kits or in one large kit?

I need my order to arrive in individual kits for multiple classrooms/groups.My order does not need to be in individual kits and can be packaged all in one.Other
If picking up your kit, please select a desired pickup date:

MonthDayYear
Date
When would you like your order to ship? [NOTE: If you want your order to ship within two weeks of placing your order, a rush shipping fee may apply.]

MonthDayYear
Date
RUSH SHIPPING - Do you need your order to ship or arrive sooner than three weeks? Please note there is an additional cost associated with rush shipping.*

YesNoOther
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Special Instructions for Shipping/Pickup?
PURCHASE ORDER TERMS

By submitting this form, you are entering into a contract agreeing to pay for the above order

You are obligated to provide The Butterfly Project with your approved purchase order (PO) as soon as it is available. Please email your PO to The Butterfly Project at: info@thebutterflyprojectnow.org

The Butterfly Project reserves the right to withhold fulfillment of your order until receipt of your approved PO.
After submitting this form you will be redirected to sign the applicable film and/or participation licensing forms for your order. Submission of these forms is required to participate in The Butterfly Project programming. Please note that we are now requiring signed participation licenses for every order, regardless of prior participation.
By clicking submit on this order form, you will be added to our newsletter mailing list. You may unsubscribe at any time by emailing us at info@thebutterflyprojectnow.org.
Should be Empty:

Educator Purchase Order Form

Your Information

Your Programming

Your Order

TBP Film Package includes:

Shipping Information