Music as a Form of Resistance and Self-Expression Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Grades Taught
*
School
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Approx. how many students will attend the presentation?
*
Grade Level of Students
*
Will this be several class periods, one larger presentation, or just one class?
*
Several class periods
One larger presentation
Just one class
Holocaust background content knowledge of students, i.e. have they studied it, or do we need to teach some basic content before we talk about the instrument?
*
Do you have 1-2 orchestra students who could play the violin? If not, HCP may be able to bring a violinist.
*
Yes
No
Additional Details
Submit
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