"Reflections: Butterfly Art Program" Application
Applying Educator:
*
First Name
Last Name
Educator Email
*
example@example.com
Educator Phone Number
*
Format: (000) 000-0000.
School:
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many butterflies will you need/approximately how many students will be participating?
*
What grade(s) do you teach?
*
What grade(s) will be participating?
*
Approximately when do you plan to conduct this project at your school?
*
What is your plan for creating a memorial/installment with the completed butterflies? Do you anticipate that it will be a temporary or permanent installation?
*
Have you participated in our previously offered butterfly grant program?
Yes
No
How did you hear about Reflections: Butterfly Art Program?
Holocaust Center Social Media
Colleagues
Holocaust Center Educator Email
Holocaust Center Website
Other
I am also interested in:
Hosting a Generations Speaker
Being joined by a Generations Speaker(s), to share an informal story about their survivor relative while students decorate their butterflies
Being contacted about scheduling a field trip to the Holocaust Center of Pittsburgh – and possibly painting Butterflies during my field trip
Additional comments:
Submit
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