Memorial Library | North Carolina Application Form 2017

North Carolina Application Form 2017

Contact information:
Full Name*
First Last
Home address*
Street Address Address Line 2 City State ZIP Code
Home email*
Enter Email Confirm Email
Home phone*
Cell phone*
Name of school or district*
School Address*
Street Address Address Line 2 City State ZIP Code
School*
Preferred email*
- Home
- School
Where did you hear about the seminar?*
Teaching Context
How many years have you been teaching?*
What subjects or courses do you generally teach? (Please specify by grade level)*
Note: Teachers from ALL subject areas are welcome!
How do you currently include teaching about the Holocaust, civil rights or human rights in your teaching, if at all?*
How might you imagine including information about the Holocaust and human rights in your teaching the coming school year?*
How might you envision sharing information gained from the seminar with your colleagues?*
Personal Statement
An opening statement: We don’t expect you to be an expert in Holocaust scholarship or pedagogy prior to attending the seminar. However, we would like your answers to these questions to convey a sense of what you hope to achieve, what knowledge, background, or perspective you bring, and what defines you as an educator.
Describe the context in which you teach and the social justice issues that shape your students’ lives both in and outside of school.*
What area of social justice do you see as a critical need in your community? Please briefly explain.*
What draws you to the topic of Holocaust/Human Rights/Social Justice education?*
What do you hope to accomplish as a result of attending the seminar?*
In order to reserve your spot for the Satellite Seminar, the Memorial Library requests a valid credit card number for a good faith deposit of $50. Card numbers will be entered via a secure website portal. Your credit card will only be charged if you cancel two weeks or less prior to the start of the seminar or if you withdraw without notice. The charge serves as reimbursement for meals and resource materials ordered on your behalf.
Good Faith Deposit*
- Good Faith Deposit
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Contact

For more information about The Olga Lengyel Institute for Holocaust Studies and Human Rights (TOLI), please contact info@toli.us

The Memorial Library is located at 58 East 79th Street in Manhattan. (get directions)

North Carolina Application Form 2017

Contact information:

Teaching Context

Personal Statement

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