Crocus Project Application
Applying Educator
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First Name
Last Name
Educator Email
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example@example.com
Educator Phone Number
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-
Area Code
Phone Number
School
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School Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many students will be participating?
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What grade(s) will be particpating?
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Approximately when do you plan to plant the bulbs?
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Where do you plan to plant your bulbs?
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How did you hear about the Crocus Project?
Holocaust Center Social Media
Colleagues
Holocaust Center Educator Email
Holocaust Center Website
Other
I am also interested in:
Hosting a Generations Speaker (approx. 40-60 minutes in length)
Being joined by a Generations Speaker(s), to share an informal story about their survivor relative during your planting (approx. 15-20 minutes; can be done while your students plant)
Being contacted about scheduling a field trip to the Holocaust Center of Pittsburgh
I allow Holocaust Education Ireland to use the data provided to follow up on the implementation of the project. In particular, my email address will be used to send me updates on the project. The treatment will be carried out in compliance with the provisions of the GDPR 2016/679. In the absence of this consent, it will not be possible to accept the registration form.
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Yes
Additional comments:
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