Holocaust Center for Humanity - Teaching Trunks Request Form 2024-2025

Holocaust Center for Humanity - Teaching Trunks

Request Form 2024-2025
Thank you for your interest in enriching your Holocaust unit with a Teaching Trunk! This form will take about 5-10 minutes to complete.

For teachers/borrowers in Washington State, trunks are free to borrow.
This year, we are only able to serve the following out of state locations: Idaho, Montana, and Oregon. For these locations, Trunks will have a $50 borrowing fee. Artifact Kits will have a $25 borrowing fee. Payment must be received at least two weeks prior to loan period.

Before completing this form:

1. Please review the description of items available to borrow on our website. (https://holocaustcenterseattle.org/teach/teaching-trunks)

2. Identify the borrowing period you wish to use the Trunk.

3. Have your complete shipping address (with zip code) handy.
Borrower's Name*

First NameLast Name
Borrower's Email*
example@example.com
Borrower's Phone Number*
Please enter a valid phone number.
Phone type*

MobileSchoolHomeOther
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School District*
Which item do you want to borrow? Note that all trunks come with an Artifact Kit. If you only want to borrow an artifact kit, there is an option to select this on the list below.*

5th/6th Grade Trunk - Through the Eyes of Children (selection of grade appropriate titles)7th/8th Grade Trunk - Investigating the Holocaust: What Happened and Why (selection of grade appropriate titles)High School Trunk - Studying the Holocaust through Primary Sources (selection of grade appropriate titles)Graphic Novel Trunk - Selected Titles for High School (selection of grade appropriate titles)Graphic Novel Trunk - Selected Titles for Middle School (selection of grade appropriate titles)Artifact Kit containing replica artifactsClassroom Set of 35 copies of the same book (choose from options below)
If you are requesting a classroom set, which book set would you like?

"All But My Life" Classroom Set Trunk (7th grade and up, 35 copies)"Anne Frank: The Diary of a Young Girl" Classroom Set Trunk (6th grade and up, 35 copies)"Daniel's Story" Classroom Set Trunk (5th and 6th grade recommended, 35 copies)"Maus" Classroom Set Trunk (9th grade and up, 35 copies of Maus I, 15 copies of Maus II)"More Than Any Child Should Know" Classroom Set Trunk (5th grade and up, 35 copies)"Night" Classroom Set Trunk (9th grade and up, 35 copies)"Number the Stars" Classroom Set Trunk (5th grade and up, 35 copies)"The Yellow Star House" Classroom Set Trunk (7th grade and up, 35 copies)
When would you like to use the Trunk/Kit? Dates indicate the day the Trunk/Kit will be scheduled to arrive at your school and the date it will be scheduled to be picked up. Please note, the delivery date cannot be guaranteed. We will do our best to accommodate your first choice. We will notify you to confirm or to let you know of an alternative date available.*
Where do you want the Trunk sent?*

School address listed above (please note that a Trunk cannot be sent to a PO box)Other address - please complete the next question and provide the details
Mail Trunk To: (Please include name, complete address, and zip code)
Grade of Students (Select all that apply)*

Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12College/UniversityGraduate
Class subject (select all that apply)*

English/Language ArtsHistory/Social StudiesHolocaust/Genocide StudiesJewish EducationElementaryOther
How many students will participate in learning with the Trunk?*
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
How are you planning to use the trunk in your Holocaust unit? What else are you doing in your unit?*
Contract: The teacher/borrower named above agrees to the following. Please check each box to indicate that you have read this contract and agree to these terms.*

Trunks must be returned intact and on time.Teachers will be responsible for assuring the return of all of the materials in good condition.Upon arrival, please check the materials against the inventory list.Check all materials before returning the items. Mark any lost or damaged items on the inventory list.The teacher/borrower is responsible for either replacing or providing funds to replace any missing items.The teacher/borrower agrees to complete a short evaluation form.
The Teaching Trunk includes books, QR cards, & replica artifacts. The Artifact Kit includes ONLY replica artifacts. The classroom sets include a class set (35 copies) of one book AND an Artifact Kit. ALL OTHER activities, lesson plans, or handouts will be sent digitally via a Google Drive link in your email correspondence with HCH staff member, Charlotte Campbell. If you require any other physical materials, or are looking for a material which was previously offered, please email Charlotte@HolocaustCenterSeattle.org. We aim to accommodate your needs.*

Yes, I acknowledge that materials will be shared digitally.
Is there anything else you would like us to know?
Would you like to subscribe to our educator newsletter?*

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