Eyewitness to the Struggle for Change (2/7/13)

To register for Eyewitness to the Struggle for Change: Teaching with Primary Sources (February 7, 2013), please fill out the following information.

Cost: $20 due at time of registration
Time: 9:00 - 2:30 p.m.
Location: Illinois Holocaust Museum & Education Center

Seating is limited and will be filled on a first-come, first-served basis. Maximum two teachers per school per workshop.

Attendance will be confirmed via email within 3-5 business days. Confirmed participants will also receive a reminder email the week of the workshop with more details.

Question Title

* 1. Basic Information

First Name

Last Name

Email Address

School Name

School Address

School City

State

Zip

School District

School County

Phone Number (Primary)

Grade Level(s)

Subject

Question Title

* 2. Have you visited IHMEC before? Please choose all that apply.

Yes, for an Open House

Yes, for a teacher training or Summer Institute

Yes, for a field trip

No, I have never been to IHMEC before

Question Title

* 3. How did you hear about this teacher training?

Website

Colleague

Program Booklet

Other, please specify

Question Title

* 4. Would you be interested in learning more about our educational opportunities?

Yes