Holocaust Center for Humanity - Field Trip Request Form 2024-2025

Holocaust Center for Humanity Field Trip

Request Form 2024-2025
Thank you for your interest in scheduling a field trip! We are accepting requests for in-person field trips during the 2024-2025 school year.

If you aren't familiar with our Field Trips, check out our FAQ page: https://www.holocaustcenterseattle.org/teach/field-trips/23-visit/674-field-trip-faqs

As the Holocaust Center for Humanity is located in Seattle, WA, 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 our Museum Educator, Charlotte Campbell at: Charlotte@HolocaustCenterSeattle.org
Please review the policies and requirements below before completing this form:
- In-person field trips have a flat fee of $175, which includes a $100 security charge. If you are interested in a scholarship for admission fee or bus transport, please complete this form.
- In-person field trips are a minimum of 90 minutes in length and can accommodate a maximum of 35 students.
- Students should have previous knowledge of or lessons about the Holocaust; a field trip does not serve as the first introduction to the topic.
- In-person field trips must be requested at least three weeks in advance.
- Students cannot eat lunch in the Center. Please inquire about places near the Center to eat, if needed.
- Students will not be able to bring backpacks/large bags inside – please leave at school or on the bus. Weapons of any kind, including pocket knives and pepper spray, are absolutely prohibited from entering the Center.
- Teachers maintain the responsibility of managing their students during the duration of the field trip.
I have read and understand the information outlined above. I agree to abide by these policies.*

YesNo (Please review before completing this form.)
Name:*

First NameLast Name
I am a:*

TeacherParentOrganizerOther
Name of School/Organization:*
School/Organization Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School District:*
Best email to reach you:*
Best phone number to reach you:*
Type of phone number:*

MobileSchoolHomeOther
Have you requested an HCH field trip before (Check all that apply)?*

Yes, I have requested field trip at the museumYes, I have requested a field trip virtuallyNo, I have not requested a field tripOther
Number of student participants:*
Number of teacher participants (no need to count chaperones):*
Grade Level of Students (Select all that apply):*

Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12College/UniversityGraduateAdult
Class Subject:*

English/Language ArtsHistory/Social StudiesHolocaust/Genocide StudiesJewish EducationElementaryOther
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 have the field trip? Will they be reading any Holocaust-related books ahead of time? If so, which ones? (Need suggestions? Let us know!)*
Please select the content areas relevant/of interest to your group. Check all that apply.

Survival in hiding/false identityGhettos and concentration campsRescue or resistanceEscape and refugees
We offer two different types of field trip for visiting school groups. Please select if you would like your students to finish their visit with time for Exhibit Exploration or an Explore and Share. Both are detailed below:

Exhibit Exploration Scavenger Hunt

Students will explore the exhibit individually using our guided worksheet to uncover artifacts, videos, and photos. After having time to explore, our museum educators will debrief with students to discuss more about what they learned.

Explore and Share

Groups of 3-5 students will be assigned to specific areas of our
exhibit. Guided by a group worksheet, they will read and reflect on the features of their specific area before sharing out to the class what they learned.
What type of field trip are you requesting? (Reminder that both options are 90 minutes in length.):*

Museum Educator led tour + Exhibit Exploration Scavenger Hunt (Individual Activity)Museum Educator led tour + Explore and Share (Group Activity)
Would you like to add-on a speaker presentation for an additional 60 minutes? (Note: this would make the field trip experience 2.5 hours in length.)*

YesNo
The Holocaust Center often documents field trips with photography or Zoom recording. Photos and recordings may be used for the Center's publicity and archive, or in print/web publications. Does your school/district allow for such photography?*

YesYes, but parents/guardians need to sign the Holocaust Center's release formNo
How did you hear about the Holocaust Center?*
Other comments, questions, or special considerations about your group?
Please suggest at least two days and times that work best for you, keeping in mind a Field Trip is 90 minutes in length:*

MonthDayYear
Date
Start time:*

Hour Minutes

AM/PM Option
Please choose a second date:*

MonthDayYear
Date
Start time:*

Hour Minutes

AM/PM Option
(Optional) Please choose a third date that works for you:

MonthDayYear
Date
Start time:

Hour Minutes

AM/PM Option
Please fill out the information below regarding the $175 fee:

If you are interested in a scholarship for the admission and security fee ($175) and/or for bus transportation (up to $200), please additionally fill out this form: https://form.jotform.com/242347334055049
Name of person being invoiced:*

First NameLast Name
Preferred invoice method:*

EmailMail
Email of person being invoiced:
example@example.com
Mailing address of person being invoiced:
Would you like to receive the Center's monthly educator newsletter?*

YesI'm already subscribedMaybe later
Should be Empty:

Holocaust Center for Humanity Field Trip