Holocaust Center for Humanity - Speakers Bureau Request Form 2024-2025

Holocaust Center for Humanity - Speakers Bureau Request Form 2024-2025
Thank you for your interest in welcoming a Speakers Bureau member to your school or organization! We are now accepting requests for both in-person AND virtual (Zoom) speaking engagements during the 2024-2025 school year.

Please review the policies and requirements on our website before completing this form.

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 Lexi Jason at Lexi@HolocaustCenterSeattle.org.
Name*

First NameLast Name
I am a:*

TeacherOrganizerParentOther
School/Organization Name*
School/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School District*
Best email to reach you:*
example@example.com
Best phone number to reach you:*
Please enter a valid phone number.
Phone Type*

MobileSchoolHome
Number of student participants (please include college/university and graduate students in this count)
Number of adult participants (for non-school affiliated groups of adults)
Number of educators
Where will this presentation be held:*

ClassroomLibraryAuditoriumGymOther
Grade of students/participants (check all that apply)*

Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12College/UniversityGraduateAdult
Have you hosted a speaker from the Holocaust Center before (check all that apply)*

Yes, I've hosted a speaker in-personYes, I've hosted a speaker virtuallyNo, I've never hosted a speaker
What platform will you be using to host a speaker?*

In PersonZoom (this is the Holocaust Center's preferred method)Google MeetsTeamsOther
Please select the best description of your group's experience with Holocaust studies:*

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
While the Holocaust Center cannot guarantee a specific speaker, if you have reviewed speaker bios and believe any individual(s) will fit with your group's studies or background, please list their names below. If you'd like to see who our speakers are, check out our Meet the Speakers page here: https://www.holocaustcenterseattle.org/teach/speakers-bureau-members
Educators: 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 hear the speaker? Will students be reading any Holocaust-related books ahead of time? If so, which ones? (Need suggestions? Let us know!)
Educators: what subject most closely aligns with your class?

English/Language ArtsHistory/Social StudiesHolocaust/Genocide StudiesJewish EducationElementaryOther
How did you hear about the Speakers Bureau?*
Other comments, questions, or special considerations about your group?
Please choose a a potential date you'd like to hear a speaker presentation:*

MonthDayYear
Date
From Time: (must be 45 minutes minimum as speakers need 40 minutes to present and usually have 5-10 minutes of questions from the students afterward)*

Hour Minutes

AM/PM Option
To time:*

Hour Minutes

AM/PM Option
Please choose a second date:*

MonthDayYear
Date
From time:*

Hour Minutes

AM/PM Option
To time:*

Hour Minutes

AM/PM Option
Optional: please choose a third date:

MonthDayYear
Date
From time:

Hour Minutes

AM/PM Option
To time:

Hour Minutes

AM/PM Option
If you are requesting an in person speaking engagement, please fill out the information below regarding invoicing for travel expense reimbursement.
First NameLast Name
Preferred method of invoice

EmailMail
Email of person being invoiced:
example@example.com
Mailing address of person being invoiced:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to subscribe to our educator newsletter?*

YesI'm already subscribedNot at this time
The Virtual Speakers Bureau is made possible thanks to the generous support of the Loeb Family Charitable Foundations.
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Holocaust Center for Humanity - Speakers Bureau Request Form 2024-2025

The Virtual Speakers Bureau is made possible thanks to the generous support of the Loeb Family Charitable Foundations.